Impact of regionalizing ST-elevation myocardial infarction care on sex differences in reperfusion times and clinical outcomes.

ABSTRACT:

Background

Women with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention historically experience worse in-hospital outcomes compared to men.

Hypothesis

Implementation of a regional STEMI system will reduce care gaps in reperfusion times and in-hospital outcomes between women and men.

Methods

1928 patients (413 women, 21.4%) presented with an acute STEMI between June 2007 and March 2016. The population was divided into an early cohort (n = 728 patients, 2007-May 2011), and a late cohort (n = 1200 patients, June 2011-2016). The primary endpoints evaluated were reperfusion times and in-hospital outcomes.

Results

Compared to men, women experienced significant delays in first medical contact (FMC) to arrival at the eme

SUBMITTER: Rayner-Hartley E 

PROVIDER: S-EPMC8364721 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature