| Prognosis in men and women coming to the emergency room with chest pain or other symptoms suggestive of acute myocardial infarction. | |
| | |
MedLine Citation:
|
PMID: 8287209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Previous studies suggest a gender-related difference in prognosis among patients with ischaemic heart disease. In the present study, we aimed to describe the characteristics and prognosis among patients with suspected ischaemic heart disease in relation to gender. METHODS: During the 21 months of the study, all patients who came to the medical emergency room of one single hospital as a result of chest pain or other symptoms suggestive of acute myocardial infarction were prospectively followed for 1 year. RESULTS: A total of 5362 patients were admitted on 7157 occasions; men accounted for 55% of the admissions. The 1-year mortality rate was 11% for men compared with 10% for women. The women were older and had a higher prevalence of known congestive heart failure and hypertension, whereas the prevalence of previous myocardial infarction was higher in men. When correcting for the dissimilarities in age and history of cardiovascular diseases, male gender appeared as an independent predictor of death. Development of myocardial infarction occurred in 25% of the men and 16% of the women (P < 0.001) during 1 year. The symptoms that brought patients to the emergency room were interpreted as being caused by myocardial infarction or myocardial ischemia in 29% of men compared with 21% of women (P < 0.001). CONCLUSIONS: In a consecutive series of patients with chest pain or other symptoms suggesting acute myocardial infarction in the emergency room, male gender was an independent risk indicator for death during 1 year. This might be explained by a higher occurrence of coronary artery disease in men than in women in this patient population. |
| | |
Authors:
|
B W Karlson; J Herlitz; M Hartford; A Hjalmarson |
Related Documents
:
|
18340129 - Probability stratification and systematic diagnostic approach for chest pain patients i... 6746139 - Myocardial bridging: a cause of myocardial infarction? 11000599 - Nuclear cardiology in the evaluation of acute chest pain in the emergency department. 7211489 - Non-infarction coronary care unit patients. a three-year follow-up with special referen... 11899219 - Treatment of persistent chylothorax after norwood procedure with somatostatin. 1575099 - Circadian variation in the frequency of onset of chest pain in elderly patients with ac... 15234319 - Cabg and ptca patients' expectations of informational support in health- related qualit... 6135989 - Protective effects of aspirin against acute myocardial infarction and death in men with... 9568069 - Myocardial infarction induces expression of midkine, a heparin-binding growth factor wi... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Coronary artery disease Volume: 4 ISSN: 0954-6928 ISO Abbreviation: Coron. Artery Dis. Publication Date: 1993 Sep |
Date Detail:
|
Created Date: 1994-02-22 Completed Date: 1994-02-22 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9011445 Medline TA: Coron Artery Dis Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 761-7 Citation Subset: IM |
Affiliation:
|
Division of Cardiology, Sahlgrenska Hospital, Göteborg, Sweden. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Angina Pectoris / diagnosis, epidemiology*, etiology, mortality Cause of Death Electrocardiography Emergencies Female Follow-Up Studies Home Nursing / statistics & numerical data Hospitalization / statistics & numerical data Humans Male Middle Aged Myocardial Infarction / complications, diagnosis, epidemiology*, mortality Prevalence Prognosis Prospective Studies Sex Factors Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Coronary thrombosis in non-cardiac death.
Next Document: Differential free-radical activity after successful and unsuccessful thrombolytic reperfusion in acu...