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Are predictors for myocardial infarction the same for women and men when evaluated prior to hospital admission?
[external]. (Prehospital akutsjukvård)
[external]. (Prehospital akutsjukvård)
2006 (English)In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 109, no 2, 241-247 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To describe predictors of myocardial infarction prior to hospital admission in women and men among patients with a suspected acute coronary syndrome without ST-elevation. DESIGN: Prospective observational study in Stockholm and Göteborg, Sweden. RESULTS: Of 433 patients who did fulfill the inclusion criteria 45% were women. Fewer women (17%) than men (26%) developed acute myocardial infarction (AMI) (p=0.054), particularly among patients with initial ST-depression, in whom AMI was developed in 22% of women and 54% of men (p = 0.001). Predictors for infarct development in women were: a history of AMI and advanced age. Among men they were: initial ST-depression or a Q-wave on ECG and elevation of biochemical markers (both recorded on admission of the ambulance crew). There was a significant interaction between gender and the influence of ST-depression on the risk for development of myocardial infarction (p < 0.05). CONCLUSION: Among patients transported with ambulance due to a suspected acute coronary syndrome and no ST-elevation fewer women than men seem to develop AMI particularly among patients with ST-depression. These results suggest that early prediction of myocardial infarction might differ between women and men with acute chest pain.

Place, publisher, year, edition, pages
Elsevier Ireland Ltd , 2006. Vol. 109, no 2, 241-247 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-8018DOI: 10.1016/j.ijcard.2005.06.020Local ID: 2320/9056OAI: oai:DiVA.org:hb-8018DiVA: diva2:888901
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-09-11Bibliographically approved

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