Sex Disparities in Cardiogenic Shock: Risk Factors, Treatment Intensity, and Mortality in a Single Latin American Country.

ABSTRACT:

Background

Cardiogenic shock (CS) carries a high in-hospital mortality, with limited data on sex-related disparities in Latin America. Women remain underrepresented in CS studies.

Objectives

To evaluate sex-specific differences in characteristics, management, and mortality in acute myocardial infarction-related (AMI-CS) and non-AMI-CS in a large Latin-American cohort.

Methods

We retrospectively analyzed 9430 patients (5016 AMI-CS and 4414 non-AMI-CS) with SCAI-CSWG stages B-E in a reference center in Mexico City from 2005 to 2023. The primary outcome was in-hospital mortality. Analyses included multivariable Cox models and propensity score matching (PSM).

Results

Women with AMI-CS were older (67 vs. 60 years), had more hypertension (66% vs. 52%) and diabetes (5

SUBMITTER: Arias-Mendoza A 

PROVIDER: S-EPMC12427619 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature