engleski

Gender differences in the clinical presentation, treatment and outcomes of acute myocardial infarction

Aim:To assess the epidemiological and clinical differences between men and women with acute myocardial infarction (AMI).Patients and methods:This retrospective study included 579 patients (352 men and 227 women) who were hospitalized at the Coronary and postcoronary unit at the General hospital Karlovac, Croatia, from 2013 to 2016.We determined the frequency, patient's age, type of symptoms, cardiovascular risk factors, localization AMI, the time from the onset of symptoms to arrival to the hospital, treatment and complications during hospitalization. Results:AMI is more frequent in man than in women (p<0.001)and in men it is significantly more likely to occur at an earlier age than in women (p<0.001).Men often have typical symptoms while women have atypical symptoms (p=0.045).More often women have arterial hypertension and diabetes, while men are more often smokers.Men are more likely to receive PCI treatment, while women get the conservative therapy (p<0.007).Conclusion:Compared with other studies, our women with AMI have less hyperlipidemia and not come later to hospital than men.Possible cause are dietary habits and genetics or education and good organization of outpatient emergency medical assistance.

Acute myocardial infarction ; cardiovascular risk ; Croatia ; hospital treatment

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