Long-term follow-up after direct PTCA in women with acute myocardial infarction

被引：0
|
作者：
Waldecker, B [1 ]
Grempels, E [1 ]
Waas, W [1 ]
Voss, R [1 ]
Wiecha, J [1 ]
Tillmanns, H [1 ]
机构：
[1] Univ Giessen, Zentrum Innere Med, Med Klin 1, D-35392 Giessen, Germany
来源：
ZEITSCHRIFT FUR KARDIOLOGIE | 2002年 / 91卷 / 11期
关键词：
myocardial infarction; women; angioplasty; prognosis;
D O I：
10.1007/s00392-002-0859-2
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Methods Long-term follow-up of 204 consecutive and unselected women vs 577 men after direct PTCA for acute Myocardial infarction. Results Women were older, had more significant comorbidity, and had a longer prehospital phase. Direct PTCA of the infarct artery was angiographically successful in 95% of women and in 94% of men. Total cumulative mortality during 4 years of follow-up was 12.5%, 14.5% 18%, and 23% in women, respectively, vs 9%, 10.5%, 12%, and 15%, respectively, in men (p = ns through year 3, p < 0.05 thereafter). After multivariate analysis, gender was no independent risk factor of increased mortality. Major cardiac events and need for target vessel revascularization were unrelated to gender. Conclusions There are no gender-specific differences in mortality after direct PTCA for acute Myocardial infarction.
引用
收藏
页码：921 / 926
页数：6
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