THE RELATIONSHIP OF GENDER WITH IMMEDIATE RESULTS OF PERCUTANEOUS CORONARY INTERVENTION IN PATIENTS WITH MYOCARDIAL INFARCTION WITH ST-SEGMENT ELEVATION
Summary. In comparative gender analysis course of Ml with ST-segment elevation of 156 patients who were divided into 2 groups: group I (n = 42 males, n = 38 female) - patients who completed PCI with stenting -dependent artery in terms of> 2 <6 hours from symptom onset and the second group (n =...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Bogomolets National Medical University
2015-06-01
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| Series: | Ukrainian Scientific Medical Youth Journal |
| Subjects: | |
| Online Access: | https://mmj.nmuofficial.com/index.php/journal/article/view/376 |
| Summary: | Summary. In comparative gender analysis course of Ml with ST-segment elevation of 156 patients who were divided into 2 groups: group I (n = 42 males, n = 38 female) - patients who completed PCI with stenting -dependent artery in terms of> 2 <6 hours from symptom onset and the second group (n = 36 males, n = 40 women) - patients who completed PCI in terms of> 6 <12 hours after onset of symptoms. Immediately after PCI during hospital period evaluated in patients develop fatal and non-fatal cardiovascular events: recurrence of pain, acute left ventricular failure class (ALVF) ll-V by Killip, arrhythmias and conduction recurrence of Ml, hemorrhage, mortality. The development of these events in patients regarded as a manifestation of adverse flow. Deferral> 6 hours in performing PCI in women is associated with an increase in the incidence of (ALVF) 37.2%, arrhythmias and conduction at 66.2%, recurrence of Ml in 60.2% of mortality in 2,7 times compared with men (p <0.05). Conducting invasive reperfusion therapy for Ml in women after 6 hours increases the frequency of ALVHF 2.3 times (p <0.001), arrhythmias and conduction 1.6 times (p <0,05), recurrence of Ml in 3.9 fold (p <0,001) and mortality at 11.5 times (p <0,001) compared with women who PCI was carried out in terms of > 2 <6 hours. |
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| ISSN: | 2786-6661 2786-667X |