Abstract：
BACKGROUND:Differences in clinical manifestation, therapeutic strategies and prognosis in men and women with acute coronary syndromes became crucial in the last decade. AIM:To present clinical characteristics of Polish women with ST-segment elevation myocardial infarction (STEMI). METHODS:A total of 26,035 patients with STEMI (8989 females, 34.5%) were included between 01.06.2005 and 31.05.2006. Data were obtained from the Polish Registry of Acute Coronary Syndromes (PL-ACS). RESULTS:Women were older than men. The incidence of classical risk factors, anterior infarction, atrial fibrillation, higher heart rate, cardiac arrest, pulmonary oedema and cardiogenic shock was higher in women. Coronary angiography was performed in 58.7% of patients, significantly less in women. There was a longer time delay in women at each stage of treatment. In-hospital and 12-month mortality was significantly higher in women. Pulmonary oedema, cardiogenic shock, cardiac arrest, age, diabetes and anterior infarction were independent factors of risk of death in multifactorial analyses, both in in-hospital and long term observation. CONCLUSIONS:Basic clinical characteristics of women with STEMI is poorer than in men. Women have longer time delay at each stage of treatment. Invasive strategy was less frequently applied in women. Independent predictors of death are similar in men and in women. Both in-hospital and one year mortality is higher in women.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Sadowski M,Gasior M,Gierlotka M,Janion M,Poloński Lsubject
Has Abstractpub_date
2010-06-01 00:00:00pages
627-34issue
6eissn
0022-9032issn
1897-4279journal_volume
68pub_type
杂志文章abstract：BACKGROUND:Patients hospitalized due to heart failure (HF) exacerbation tend to have a poor prognosis. Most previous studies were performed in large clinical centers and detailed analyses of HF patients hospitalized in district general hospitals are lacking. AIMS:The aim of this study was to assess the outcomes of pat...
journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
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