Gender Differences in Left Ventricular Function Following Percutaneous Coronary Intervention for First Anterior Wall ST-Segment Elevation Myocardial Infarction
“…The reasons for these gender‐related differences in clinical outcomes are not known. Generally, female patients with STEMI are older than males and have more frequent comorbidities . Consistent with previous investigations, we also found that women were significantly older when they presented with their first STEMI, with the average age being 60.2 years in women and 55.7 years in men.…”
Section: Discussionsupporting
confidence: 91%
“…Generally, female patients with STEMI are older than males and have more frequent comorbidities. [2][3][4][5][6]23 Consistent with previous investigations, we also found that women were significantly older when they presented with their first STEMI, with the average age being 60.2 years in women and 55.7 years in men. The higher incidence of STEMI in older female patients might be related to the beneficial effects that circulating estrogens exert on the vascular endothelium.…”
Section: Causes Of Differences In Clinical Outcomes Between the Gensupporting
confidence: 89%
“…Additionally, many studies have shown that women with STEMI are more likely to experience a longer delay from symptom onset to reperfusion. 23,25,26 As previously reported, the delay from symptom onset to reperfusion was significantly longer in women with a first STEMI than in similarly affected men in the current study. Sederholm…”
Section: Causes Of Differences In Clinical Outcomes Between the Gensupporting
“…The reasons for these gender‐related differences in clinical outcomes are not known. Generally, female patients with STEMI are older than males and have more frequent comorbidities . Consistent with previous investigations, we also found that women were significantly older when they presented with their first STEMI, with the average age being 60.2 years in women and 55.7 years in men.…”
Section: Discussionsupporting
confidence: 91%
“…Generally, female patients with STEMI are older than males and have more frequent comorbidities. [2][3][4][5][6]23 Consistent with previous investigations, we also found that women were significantly older when they presented with their first STEMI, with the average age being 60.2 years in women and 55.7 years in men. The higher incidence of STEMI in older female patients might be related to the beneficial effects that circulating estrogens exert on the vascular endothelium.…”
Section: Causes Of Differences In Clinical Outcomes Between the Gensupporting
confidence: 89%
“…Additionally, many studies have shown that women with STEMI are more likely to experience a longer delay from symptom onset to reperfusion. 23,25,26 As previously reported, the delay from symptom onset to reperfusion was significantly longer in women with a first STEMI than in similarly affected men in the current study. Sederholm…”
Section: Causes Of Differences In Clinical Outcomes Between the Gensupporting
“…Also, the delay presentation theory suggested by Saxena el al was supported by other recent studies, but rather in cardiology than in cardiac surgery settings17,18 . Many studies were analyzed by Guth et al19 and reached the same conclusion; women react different than men due to genderdetermined differences in anatomy, physiology, and the immune response, Some of the identified risk factors (i.e.…”
In a preselected patient population, fast-track treatment could be done with a low FTF rate. Independent risk factors for FTF are age, female sex, prolonged surgery, and prolonged cross-clamp time.
“…Diese Studie verdeutlicht auch, dass die subjektive Einschätzung der Beschwerden bei Frauen oft anders ist als bei Männern. Frauen interpretieren Ihre Symptome seltener als relevant oder bedrohlich und suchen erst später medizinische Hilfe, was u. a. für eine schlechtere Prognose beim Myokardinfarkt verantwortlich sein könnte[18]. Frauen -zu erkennen und die weitere kardiologische Diagnostik in die Wege zu leiten.…”
ZusammenfassungDie Angina pectoris ist das Kardinalsymptom für eine myokardiale Ischämie. Zu den
wichtigen Pathomechanismen für eine myokardiale Ischämie gehören die
stenosierende koronare Herzkrankheit (KHK) bzw. die Koronarthrombose beim akuten
Myokardinfarkt, Koronarspasmen und eine koronare mikrovaskuläre Dysfunktion.
Wichtige Unterschiede zwischen Männern und Frauen liegen in der Art der
Beschwerden, der Beschreibung der Symptome und der subjektiven Einschätzung der
Beschwerden.
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