In-hospital outcome of acute myocardial infarction among male and female patients

Abstract

Introduction: Cardiovascular disease involves men more frequently than women. However, women with acute myocardial infarction (AMI) are more likely to die of the disease than men. The reasons for this mortality difference are not completely understood and the method to predict excess mortality in women is still lacking. Objectives: To compare the in-hospital outcome between male and female patients with acute myocardial infarction. Methodology: This cross-sectional observational study was conducted in the Department of Cardiology Sylhet MAG Osmani Medical College Hospital, Sylhet during the period from July 2014 to June 2016. Fifty female (group-A) and 50 male (group-B) patients with definite diagnosis of acute myocardial infarction admitted within 24 hours of symptom onset, received Streptokinase (in cases of ST elevation myocardial infarction), aged above 18 years and both sex were included. Prior myocardial infarction, cardiomyopathy, valvular heart disease, Previous MI with revascularization and those who were not willing to enroll in this study were excluded. Results: Females were older [60.28 (SD 9.50) versus 50.26 (SD 8.88) years; p0.05] did not differ significantly between female and male. Female sex [OR=4.95; (95% CI=1.30-18.81; p