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Sex Differences in Elderly People Over
80 Years After Myocardial Infarction.
Homs, Eduardo; Guri, Olga; Juliá, Jordi;
Martín, Montserrat; Gimeno, Carmen
Hospital de la Creu Roja. Hospitalet, Barcelona. España
Introduction: Life expectancy in the elderly population increases markedly the hospitalisation for acute myocardial infarction (AMI).
Aim: We set out to analyse sex differences in older patients over 80 years admitted to our hospital because of an acute myocardial infarction occurring between 1995 and 1999.
Methods: 920 consecutive patients with acute myocardial infarction were admitted to our hospital between 1995 and 1999. 170 of them (18%) were older than 80 years and comprised the study population.
There were no differences related to other risk factors, prior cardiovascular disease, previous NYHA, cancer, clinical features on admission, Killip class, initial ECG on admission, acute management and discharge medication, non fatal postinfarction ischaemic outcomes and aggressive management predischarge.
Discussion: We found similar facts as a large number of studies have pointed out among hospitalised older patients with myocardial infarction. A high proportion of diabetic women was present with atrial fibrillation and less initial admission to CCU. Moreover, much of the excess of mortality shown in older women compared to older men, seems to be associated with an adverse prognosis mostly related to an increased incidence of heart pump failure.
Conclusions: Elderly patients over 80 years with acute myocardial infarction exhibit a higher proportion of women with a worse baseline clinical profile in comparison with older men, due to a greater incidence of diabetes and atrial fibrillation. Besides, women showed less initial admission to CCU and had an excess of hospital mortality mostly related to severe left ventricular dysfunction.
2nd Virtual Congress of Cardiology
Dr. Florencio Garófalo
Dr. Raúl Bretal
Dr. Armando Pacher
Technical Committee - CETIFAC
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