Gender differences in acute myocardial infarction, twenty-five years registration

Coppieters, Yves; Collart, Philippe; Lévêque, Alain

doi:10.1016/j.ijcard.2011.04.012

Cited by 17 publications

(7 citation statements)

References 19 publications

(21 reference statements)

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“…In our participants, the ratio of male to female is 13.3:1, which is much higher than that in AMI (3:1-5:1) (20) and that in SAHS (2:1) (21). The particular population may be the major reason to cause this bias.…”

Section: Discussioncontrasting

confidence: 55%

The relationship between apnoea hypopnoea index and Gensini score in patients with acute myocardial infarction undergoing emergency primary percutaneous coronary intervention

Zhu

Wang

et al. 2017

J. Thorac. Dis.

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Background: Sleep apnoea hypopnoea syndrome (SAHS) is characterised by repetitive nocturnal hypoxemia and has a high prevalence among patients with acute myocardial infarction (AMI). But there are few studies on patients with AMI undergoing emergency primary percutaneous coronary intervention (pPCI).In this study, we want to find the prevalence of SAHS among patients with AMI undergoing emergency pPCI and determine whether SAHS would worsen the condition among these people, and especially affect the damage degree of the coronary artery Methods: Over four months, 95 patients admitted for the first time for AMI were observed. All of them had emergency primary PCIs. A total of 86 patients accepted the sleep study and were divided into four groups according to the apnoea hypopnoea index (AHI): SAHS was diagnosed when AHI ≥5/h and was defined as mild for AHI ≥5/h and <15/h, moderate for AHI ≥15/h and <30/h, and severe for AHI ≥30/h. On the contrary, the patients whose AHI <5/h were Non-SAHS. And the characteristics of the patients among these four groups were compared. According to the time of chest pain onset, the number of the patients between SAHS and non-SAHS, and patients' AHI during three intervals of one day were measured and compared;Makers including the sensitivity of serum troponin T (hs-TnT), creatine kinase isoenzyme MB (CK-MB), left ventricular ejection fraction (LVEF), pro-brain-type natriuretic peptide (pro-BNP), Gensini score and collateral vessels between the SAHS and non-SAHS were compared. And the relationships between the AHI of these patients and the markers were analysed. Results: Of the 86 patients studied, 65 had SAHS, representing a SAHS prevalence of 75.58% among patients with AMI undergoing emergency pPCI. There were significant differences in average ages, smoking and arrhythmia (P<0.05) between these four groups. There was no significant difference between AMI patients with or without SAHS regarding the day-night pattern. But there showed significant differences between SAHS and non-SAHS in Gensini score (P<0.05) and pro-BNP (P<0.05). Also, there were positive correlations between AHI and Gensini score (r=0.490, P<0.05) and pro-BNP (r=0.338, P<0.05). Conclusions: Among patients with AMI undergoing emergency pPCI, there is a high prevalence of SAHS.There are also positive correlations between AHI and Gensini score, and pro-BNP. Therefore, guided by the results, should we conduct a routine screening to those patients normally and could we relieve the damage to the coronary artery by curing the SAHS?

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Section: Discussioncontrasting

confidence: 55%

The relationship between apnoea hypopnoea index and Gensini score in patients with acute myocardial infarction undergoing emergency primary percutaneous coronary intervention

Zhu

Wang

et al. 2017

J. Thorac. Dis.

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“…Although the test for heterogeneity between genders was not significant, the weaker results among men may be due to a limited number of events in the extreme categories. The observed gender difference for diet in secondary prevention could also be due to greater case fatality rate among women 48–50 , differences in MI pathophysiology 51,52 , clinical presentation, or initial management and prognosis 53 . Younger women have lower risk of MI but worse short-term and long-term prognosis after MI onset compared with men or older women 48 .…”

Section: Discussionmentioning

confidence: 99%

Better Diet Quality and Decreased Mortality Among Myocardial Infarction Survivors

Chiuve

Flint

et al. 2013

JAMA Intern Med

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“…Although developing effective primary percutaneous coronary intervention networks for treatment of STelevation myocardial infarction has been the particular focus of the cardiological community in recent years, 1,2 the majority of patients with myocardial infarction have NSTEMI. 3 Recent studies have reported on general epidemiology of all myocardial infarctions [4][5][6][7][8][9][10][11][12][13][14] as well as NSTEMI. [15][16][17][18][19][20][21][22][23][24] Men are uniformly reported as having a higher risk for myocardial infarction than women, and risk for infarction has a general trend of increase with age.…”

Section: Myocardial Infarction Is Classified Based On Electrocardiographical Presentation As St-elevation or Non-st-elevation Myocardial mentioning

confidence: 99%

Association of age and gender with risk for non-ST-elevation myocardial infarction

Kytö

Sipilä

Rautava

2014

Eur J Prev Cardiolog

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Gender differences in acute myocardial infarction, twenty-five years registration

Cited by 17 publications

References 19 publications

The relationship between apnoea hypopnoea index and Gensini score in patients with acute myocardial infarction undergoing emergency primary percutaneous coronary intervention

The relationship between apnoea hypopnoea index and Gensini score in patients with acute myocardial infarction undergoing emergency primary percutaneous coronary intervention

Better Diet Quality and Decreased Mortality Among Myocardial Infarction Survivors

Association of age and gender with risk for non-ST-elevation myocardial infarction

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