The gender spectrum of in-hospital survival post primary percutaneous coronary intervention for ST elevation myocardial infarction: Exploring age-driven trends

Abstract

Background: The study was aimed to evaluate gender difference and age & gender specific interaction of in-hospital outcomes of patients with ST elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). Methods: This was a prospective cohort study of 1748 patients with STEMI undergoing primary PCI. The study was dichotomised according to gender to evaluate the difference in the outcome. The study was further stratified based on an age cut-off of 75 years to examine the age-specific gender relationship in survival outcomes. Independent variables for in-hospital mortality were analysed through logistic regression. Results: There were 314 (17.96%) females with an average age of 60.80 years and 1434 (82.03%) males with an average age of 54.87 years. The prevalence of diabetes (24.8% vs. 13.2%) and hypertension (33.1% vs. 12.9%) was significantly higher in female patients compared to male patients, whereas the significantly higher number of male patients were smokers. On multivariate analysis, odds of female gender OR=

3.54 (1.37-9.17), killip class >2 OR=3.05 (1.97-4.71) and baseline creatinine OR= 2.27 (1.22-4.23) were found as significant predictors of in-hospital mortality. The crude odds ratio of 2.35 (1.49-3.72) and adjusted OR of 2.05 (1.27-3.30) for female mortality was significant among patients aged

Recommended Citation

Patel, Iva; Vyas, Pooja; Natarajan, Karthik; Kanabar, Kewal; Sharma, Vishal; Jain, Sharad; Joshi, Dinesh; Dahiya, Swati; and Borra, Siva Nagendra (2024) "The gender spectrum of in-hospital survival post primary percutaneous coronary intervention for ST elevation myocardial infarction: Exploring age-driven trends," Journal of the Saudi Heart Association: Vol. 36 : Iss. 1 , Article 6.
Available at: https://doi.org/10.37616/2212-5043.1372