Abstract 4145362: Sex Differences in Mortality Following ST-Elevation Myocardial Infarction between 2019-2023 : Insights from the Northern New England Cardiovascular Disease Study Group
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Le résumé fourni par la source
Background: Women have historically had higher mortality following STEMI than men. The difference in mortality is in part related to higher bleeding rates in women when compated to men. Little is known about the mortality differences in women versus men in the current era of radial first and other bleeding avoidance stategie for PCI. Methods: We queried in the NNE database to identofy all PCI cases between 2019 and 2023. From the dataset, patients who underwent PCI for an indication of STEMI were identified, and demographic as well as procedural variables were collected. Patients with shock prior to PCI were excluded. In-hosptial outcomes were assessed including bleeding and need for transfusion. Mortality was obtained from discharge vital status. Standard statisical methods were used to assess significance of differences, using STATA for calculations. Results: A total of 22,681 pateints were identified who underwent PCI between 2019 and 2023. Of these, 4,356 (19.2%) underwent PCI for STEMI and did not have shock. Of the patients with STEMI, 3,198 (73.4%) were men and 1,158 (26.6%) were women. When compared with men, women tended to be older, have smaller BSA, and similar BMI. Procedurally, the percent radial cases and IIBIIIA receptor inhibitor use were similar between men and women. In-hospital mortalty was 3.3% for women and 1.7% for men (p<0.01) during this time period. Bleeding rates and need for transfusion were not different between men and women (Table 1). Conclusions: Desipite similar rates of radial access and bleeding, women undergoing PCI for STEMI in Northern New England continue to have nearly double the mortality of men. More study is needed to understand these diferences and optmimize outcomes for women.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Abstract 4145362: Sex Differences in Mortality Following ST-Elevation Myocardial Infarction between 2019-2023 : Insights from the Northern New England Cardiovascular Disease Study Group
- Date Crossref
- 12/11/2024
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Dartmouth College pays non établi dans la noticeUniversité ou école supérieure
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University of Vermont pays non établi dans la noticeUniversité ou école supérieure
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Brown University pays non établi dans la noticeUniversité ou école supérieure
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Dartmouth Psychiatric Research Center pays non établi dans la noticeStructure de recherche
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Dartmouth–Hitchcock Medical Center pays non établi dans la noticeÉtablissement de santé
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Catholic Medical Center pays non établi dans la noticeÉtablissement de santé
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DHMC pays non établi dans la noticeInstitution
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Geisel School of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Dartmouth-Hitchcock Medical Center pays non établi dans la noticeÉtablissement de santé
Dartmouth College, University of Vermont et Brown University, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.