Differences between Men and Women in Terms of Clinical Features of ST-Segment Elevation Acute Myocardial Infarction

ABSTRACT

Background: Several research have investigated further into differences in clinical characteristics of acute myocardial infarction between men and women (AMI). Prospective studies, on the other hand, are few, and sex-related variations in AMI symptoms are unknown. We studied at the variations in clinical characteristics of ST-segment elevation AMI between men and women.Material & Methods:We evaluated at 151 patients with ST-segment elevation AMI who were hospitalized within 24 hours of symptom onset (70 women and 81 males). Within 48 hours of hospitalization, all patients were interviewed by many of the same cardiologist.Results:Women exhibited higher rates of hypertension (70 vs 56 percent, p=0.010), diabetes mellitus (36 vs 26 %, p=0.047), and hyperlipidemia (51 vs 38 %, p=0.019) than males (72 vs 62 years, p0.001). Non-specific symptoms (45 vs 34%, p=0.033), non-chest discomfort (pain in the mouth, throat, neck, shoulder, arm, hand, and back), moderate pain (20 vs 7%, p0.001), and nausea (49 vs 36 percent, p=0.013) were all more common in women than in males. The severity of coronary artery lesions was equal in both sexes on coronary angiography. Women had a considerably greater in-hospital death rate than males (6.6 vs. 1.4%, p=0.003).Conclusions:Women and men with AMI have different clinical profiles and presentations. AMI symptoms are less common in women than in males.