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Prague, Czechia β 22 May Women are more than twice as likely to die after a heart attack than men, according to research presented today at Heart Failure , a scientific congress of the European Society of Cardiology ESC. Smoking levels are rising in young women and this should be tackled, along with promoting physical activity and healthy living. Previous studies have found that women with ST-elevation myocardial infarction STEMI have a worse prognosis during their hospital stay compared to men, and that this may be due to their older age, increased numbers of other conditions, and less use of stents percutaneous coronary intervention; PCI to open blocked arteries.
This was a retrospective observational study which enrolled consecutive patients admitted with STEMI and treated with PCI within 48 hours of symptom onset between and Adverse outcomes were defined as day all-cause mortality, five-year all-cause mortality and five-year major adverse cardiovascular events MACE; a composite of all-cause death, reinfarction, hospitalisation for heart failure and ischaemic stroke.
The study included patients. Women were older than men average age 67 vs. Men were more likely to be smokers and have coronary artery disease. The interval between symptoms and treatment with PCI did not differ between women and men overall, but women aged 55 and below had a significantly longer treatment delay after arriving at the hospital than their male peers 95 vs.
The researchers compared the risk of adverse outcomes between women and men after adjusting for factors that could influence the relationship including diabetes, high cholesterol, hypertension, coronary artery disease, heart failure, chronic kidney disease, peripheral artery disease, stroke and family history of coronary artery disease. At 30 days, At five years, nearly one-third of women More than one-third of women The researchers conducted a further analysis in which they matched men and women according to risk factors for cardiovascular disease including hypertension, diabetes, high cholesterol and smoking.
Adverse outcomes were then compared between matched men and women aged 55 years and under, and between matched men and women over 55 years old. There were patients in the matched analysis. In matched patients over 55 years of age, all adverse outcomes measured were more common in women than men.