Increased Cardiac Mortality in Women Compared with Men in Patients with Acute Myocardial Infarction
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概要
- 論文の詳細を見る
Objective It has been reported that women with acute myocardial infarction (AMI) have a higher short-term mortality rate than men, but the reason is not known. The profile in relation to age, gender and risk factors was evaluated to compare AMI and unstable angina pectoris (UAP). Methods Findings from 984 patients including 580 patients with AMI (129 women, 451 men) and 404 patients with UAP (131 women, 273 men) were analyzed by the South Osaka Acute Coronary Syndrome Study Group (SACS). The primary endpoint of the study was in-hospital death. The primary endpoints of interest (cardiac death) were fatal recurrent myocardial infarction, death from congestive heart failure, and sudden death. Results Cardiac death during hospitalization within 30 days in AMI was higher in women than in men (12.4% vs 6.7%, p<0.05). On the other hand, in UAP there was no significant difference between women and men (1.5% vs 0.7%, NS). The incidence of cardiac death in AMI was significantly higher for patients 75 years old and older (19.0%) than for patients less than 55 years old (4.2%), 55-64 years old (3.5%) and 65-74 years old (4.7%) (p<0.001, respectively). Conclusions Cardiac death was higher for women compared with men in patients with AMI. The worse prognosis for the AMI women patients was likely to be derived from less performance of percutaneous coronary intervention, and a high incidence of severe myocardial infarction. Further research should be focused on the analysis of various clinical backgrounds.
- 社団法人 日本内科学会の論文
- 2004-10-01
著者
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Hayashi Takahiro
Division Of Cardiology Department Of Internal Medicine Kinki University School Of Medicine
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Ishikawa Kinji
Division Of Cardiology Department Of Internal Medicine Kinki University School Of Medicine
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Yokoi Yoshiaki
Kishiwada Tokusyukai Hospital
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Hanyu T
Department Of Physics Faculty Of Science Tokyo Metropolitan University
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Hayashi Takahiro
Department of Cardiology, Kinki University School of Medicine
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Masunaga Nobutaka
Division of Cardiology, Department of Internal Medicine, Kinki University School of Medicine
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Kiyoshima Takashi
Department of Cardiology, Kinki University School of Medicine
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Ishikawa Kinji
Department of Cardiology, Kinki University School of Medicine
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Kawarabayashi Takahiko
Baba Memorial Hospital
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Kanamasa Ken
Department Of Cardiology Kinki University School Of Medicine
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Masunaga Nobutaka
Division Of Cardiology Department Of Internal Medicine Kinki University School Of Medicine
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Matsuda Mitsuo
Kishiwada City Hospital
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Yamada Yoshio
Osaka Rosai Hospital Division Of Cardiology
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Kiyoshima Takashi
Department Of Cardiology Kinki University School Of Medicine
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HOSHIDA Shiro
Osaka Rosai Hospital
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NAKA Masashi
Osaka Minami National Hospital
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OGAWA Iwao
Shiroyama Hospital
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South Osaka
South Osaka Acute Coronary Syndrome Study Group
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Kanamasa Ken
近畿大学 医学部高血圧・老年内科部門
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Matuura Masayoshi
Department Of Cardiology Kinki University School Of Medicine
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Kanamasa Ken
Department Of Vascular And Geriatric Medicine Osaka Japan
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Ishikawa Kinji
近畿大学 医学部循環器内科学教室
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Yokoi Yoshiaki
Kishiwada Tokushukai Hospital
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Ogawa Iwao
Department Of Physics Faculty Of Science Rikkyo University
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Hayashi Takahiro
Department Of Cardiology Kinki University School Of Medicine
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Ishikawa K
Division Of Cardiology Department Of Internal Medicine Kashiwara Municipal Hospital
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Takai H
近畿大学 医学部循環器内科部門
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Takai Hiroyuki
Division Of Cardiology Department Of Internal Medicine Kinki University School Of Medicine
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Ogawa I
Shiroyama Hospital
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Nakano Manabu
Department Of Cardiology:kinki University School Of Medicine
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Nakano Manabu
The Department Of Cardiology Kinki University School Of Medicine
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Ishikawa Kinji
Department Of Cardiology Kinki University School Of Medicine
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Hirota Takayoshi
Division Of Cardiology Faculty Of Medicine Kinki University
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Hayashi Takeo
1st Dept. Of Internal Medicine Tohoku Univ. School Of Med.
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Yamada Yoshio
Osaka Rosai Hospital
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Hayashi Takahiro
The Department Of Cardiology Kinki University School Of Medicine
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Hayashi Takahiro
First Department Of Internal Medicine Kinki University School Of Medicine
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