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Gender differences in clinical features and in-hospital outcomes in ST-segment elevation acute myocardial infarction: from the Korean Acute Myocardial Infarction Registry (KAMIR) study

DC FieldValueLanguage
dc.contributor.author장양수-
dc.contributor.author최동훈-
dc.date.accessioned2015-04-23T17:26:18Z-
dc.date.available2015-04-23T17:26:18Z-
dc.date.issued2010-
dc.identifier.issn0160-9289-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/102464-
dc.description.abstractBACKGROUND: Studies have suggested that women are biologically different and that female gender itself is independently associated with poor clinical outcome after an acute myocardial infarction (AMI). HYPOTHESIS: We analyzed data from the Korean Acute Myocardial Infarction Registry (KAMIR) to assess gender differences in in-hospital outcomes post ST-segment elevation myocardial infarction (STEMI). METHODS: Between November 2005 and July 2007, 4037 patients who were admitted with STEMI to 41 facilities were registered into the KAMIR database; patients admitted within 72 hours of symptom onset were selected and included in this study. RESULTS: The proportion of patients who had reperfusion therapy within 12 hours from chest pain onset was lower in women. Women had higher rates of in-hospital mortality (8.6% vs 3.2%, P < .01), noncardiac death (1.5% vs 0.4%, P < .01), cardiac death (7.1% vs 2.8%, P < .01), and stroke (1.2% vs 0.5%, P < .05) than men. Multivariate logistic regression analysis identified age, previous angina, hypertension, a Killip class > or = II, a left ventricular ejection fraction (LVEF) < 40%, and a thrombolysis in myocardial infarction flow (TIMI) grade < or = 3 after angioplasty as independent risk factors for in-hospital death for all patients; however, female gender itself was not an independent risk factor. CONCLUSIONS: The results of this study show that although women have a higher in-hospital mortality than men, female gender itself is not an independent risk factor for in-hospital mortality.-
dc.description.statementOfResponsibilityopen-
dc.format.extentE1~E6-
dc.relation.isPartOfCLINICAL CARDIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHChi-Square Distribution-
dc.subject.MESHCoronary Angiography-
dc.subject.MESHFemale-
dc.subject.MESHHealth Status Disparities*-
dc.subject.MESHHealthcare Disparities*-
dc.subject.MESHHospital Mortality-
dc.subject.MESHHumans-
dc.subject.MESHInpatients*-
dc.subject.MESHLogistic Models-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Infarction/complications-
dc.subject.MESHMyocardial Infarction/diagnostic imaging-
dc.subject.MESHMyocardial Infarction/mortality-
dc.subject.MESHMyocardial Infarction/therapy*-
dc.subject.MESHMyocardial Reperfusion*/adverse effects-
dc.subject.MESHMyocardial Reperfusion*/mortality-
dc.subject.MESHProspective Studies-
dc.subject.MESHRecurrence-
dc.subject.MESHRegistries-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRisk Assessment-
dc.subject.MESHRisk Factors-
dc.subject.MESHSex Factors-
dc.subject.MESHStroke/etiology-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titleGender differences in clinical features and in-hospital outcomes in ST-segment elevation acute myocardial infarction: from the Korean Acute Myocardial Infarction Registry (KAMIR) study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorJong-Seon Park-
dc.contributor.googleauthorYoung-Jo Kim-
dc.contributor.googleauthorDong-Gu Shin-
dc.contributor.googleauthorMyung-Ho Jeong-
dc.contributor.googleauthorYoung-Keun Ahn-
dc.contributor.googleauthorWook-Sung Chung-
dc.contributor.googleauthorKi-Bae Seung-
dc.contributor.googleauthorChong-Jin Kim-
dc.contributor.googleauthorMyeong-Chan Cho-
dc.contributor.googleauthorYang-Soo Jang-
dc.contributor.googleauthorSeung-Jung Park-
dc.contributor.googleauthorIn-Whan Seong-
dc.contributor.googleauthorShung-Chull Chae-
dc.contributor.googleauthorSeung-Ho Hur-
dc.contributor.googleauthorDong-Hoon Choi-
dc.contributor.googleauthorTaek-Jong Hong-
dc.identifier.doi10.1002/clc.20557-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03448-
dc.contributor.localIdA04053-
dc.relation.journalcodeJ00565-
dc.identifier.eissn1932-8737-
dc.identifier.pmid20589943-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1002/clc.20557/abstract-
dc.contributor.alternativeNameJang, Yang Soo-
dc.contributor.alternativeNameChoi, Dong Hoon-
dc.contributor.affiliatedAuthorJang, Yang Soo-
dc.contributor.affiliatedAuthorChoi, Dong Hoon-
dc.citation.volume33-
dc.citation.number8-
dc.citation.startPage1-
dc.citation.endPage6-
dc.identifier.bibliographicCitationCLINICAL CARDIOLOGY, Vol.33(8) : 1-6, 2010-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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