Document Detail


Observations of the treatment of women in the United States with myocardial infarction: a report from the National Registry of Myocardial Infarction-I.
MedLine Citation:
PMID:  9588431     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To determine whether there are sex differences in the demographics, treatment, and outcome of patients with acute myocardial infarction in the United States, data from the National Registry of Myocardial Infarction-I from September 1990 to September 1994 were examined. METHODS: The National Registry of Myocardial Infarction-I is a national observational database consisting of 1234 US hospitals in which each hospital submits data from each patient with acute myocardial infarction to a central data collection center. For these analyses, the following variables were examined in 354 435 patients with acute myocardial infarction: demographics; use of medical therapy including thrombolytic agents; use of procedures including cardiac catheterization, percutaneous transluminal coronary angioplasty, and coronary artery bypass surgery; length of hospital stay; adverse events (stroke, major bleeding, or recurrent myocardial infarction); and causes of death. RESULTS: In comparison with men, women experiencing acute myocardial infarction in the United States are older, with 55.7% older than 70 years. Women have a higher mortality rate than men even when controlled for age and die less often from arrhythmia but more often from cardiac rupture whether or not thrombolytic therapy is used. Treatment with aspirin, heparin, or beta-blockers is less frequent in women. When thrombolytic therapy is used, women are treated an average of almost 14 minutes later than men and experience a greater incidence of major bleeding. Cardiac catheterization, percutaneous transluminal coronary angioplasty, and coronary artery bypass surgery are used less often in women. CONCLUSIONS: Observations from the National Registry of Myocardial Infarction-I document important sex differences in demographics, treatment, and outcome of patients with acute myocardial infarction in the United States.
Authors:
N C Chandra; R C Ziegelstein; W J Rogers; A J Tiefenbrunn; J M Gore; W J French; M Rubison
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  158     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-06-04     Completed Date:  1998-06-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  981-8     Citation Subset:  AIM; IM    
Affiliation:
Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA. nchandra@welchlink.welch.jhu.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Age Distribution
Aged
Female
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
Myocardial Infarction / complications,  diagnosis*,  mortality,  therapy*
Registries
Sex Distribution
Sex Factors
Treatment Outcome
United States / epidemiology
Women's Health*
Comments/Corrections
Comment In:
Arch Intern Med. 1998 Dec 7-21;158(22):2513-4   [PMID:  9855392 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Physician resource use and willingness to participate in assisted suicide.
Next Document:  Hip fracture risk in older white men is associated with change in body weight from age 50 years to o...