Influence of gender in the therapeutic management of patients with acute myocardial infarction in Israel

Age and Sex Differences in Duration of Prehospital Delay in Patients With Acute Myocardial Infarction

“…There are several possible explanations for this finding. First, women were considerably older than men when experiencing their first AMI12,13,17,21,25,35,36,41,43,49,50 and many studies have found that advancing age is associated with prolonged delay in seeking medical care in patients hospitalized with AMI 8,9,15,30,38,39,43. Second, women were more likely to report atypical symptoms of AMI than men 52.…”

Is female sex an independent predictor of in-hospital mortality in acute myocardial infarction?

“…For many years, morbidity and mortality in coronary artery disease have been reported as occurring 5 to 10 years later in females than in males [7][8][9][10][11][12] . An important paradox has been reported in several studies, when acute myocardial infarction occurs: females have a higher in-hospital mortality 5,6,[13][14][15] .…”

Relation of Race and Sex to the Use of Reperfusion Therapy in Medicare Beneficiaries with Acute Myocardial Infarction

“…Our results are in marked contrast to those of some studies, which have shown that women are less likely than men to receive thrombolytic therapy after acute myocardial infarction, 9-14 but other studies have found no difference according to sex. 17,26,27 However, many of the previous studies that examined differences according to sex in the receipt of thrombolytic therapy did not adjust for the presence of generally recognized eligibility criteria for the use of reperfusion therapy in patients with myocardial infarction (such as duration of symptoms, electrocardiographic criteria, and the absence of contraindications to thrombolytic therapy) or a patient's decision not to undergo therapy. Also, most studies had sample sizes that were inadequate for determining the interactions of race and sex.…”