Gender Differences in Presenting Symptoms and Outcome in Myocardial Infarction
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 11
Abstract
ntroduction: Cardiovascular disease is the leading cause of death among women, regardless of race or ethnicity, accounting for deaths of 1 in 3 women. Mortality rates for coronary heart disease have fallen for both men and women, but the rate of fall is much less in women than men. Aim: The aim of the study was to compare the presentation and outcome of acute myocardial infarction (AMI) in men versus women. Materials and Methods: All patients satisfying the diagnosis of myocardial infarction were included in the study. All acute myocardial infarction cases were divided into men and women. A detailed evaluation of patients presenting with AMI was done. Clinical presentations, risk factors, vitals, and killip functional classification, electrocardiography were recorded. Results: Diabetes mellitus found to be 46% in women and 38% in men. Out of 100 females, 60 had precordial chest pain, and 33 had retrosternal chest pain. Evidence of left ventricular failure was more common in women. Thrombolysis was done in 20% of women, where 60% of men undergone thrombolysis. AMI leading to death was reported high in women (9%) followed by men (6%). Conclusion: Coronary artery diseases in women continue to be a major public health problem that represents a leading cause of death and disability. Better understanding of gender differences in manifestation and detection of myocardial ischemia is a critical initial step to improve outcomes for women.
Authors and Affiliations
P Renuga, T Grashia, Heber Anandan
Keywords
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