CORONARY ARTERY DISEASE Original Studies Does Gender Affect the Clinical Outcome of Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock Who Undergo Percutaneous Coronary Intervention?
CORONARY ARTERY DISEASE Original Studies Does Gender Affect the Clinical Outcome of Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock Who Undergo Percutaneous Coronary Intervention?
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冠状动脉疾病原创研究 性别是否影响急性心肌梗塞并发心源性休克患者接受经皮冠状动脉介入治疗的临床结局？
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
G. Santoro
中科院分区：
文献类型：
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作者：
D. Antoniucci;A. Migliorini;G. Moschi;R. Valenti;Maurizio;Trapani;G. Parodi;L. Bolognese;G. Santoro
本研究旨在探讨女性对接受经皮冠状动脉介入治疗(PCI)的急性心肌梗死(AMI)合并心源性休克(CS)患者的临床结局的影响。我们分析了连续208例急性心肌梗死合并冠脉综合征患者在手术、血管造影和临床结果方面的性别差异。在208例CS患者中，女性65例，男性143例。女性比男性年龄大(74-10岁比66-12岁；P<；0.001)，并且有更高的高血压病史发生率(43%比29%；P 0.041)。6个月死亡率女性为42%，男性为31%(P<0.157)。再梗死率和靶血管重建率组间差异无统计学意义。多因素分析显示，年龄是与6个月死亡率独立相关的唯一变量，而女性与死亡风险无关。早期经皮冠状动脉介入治疗的益处在女性和男性中是相似的，应该避免任何基于性别差异而使用经皮冠状动脉介入治疗的潜在转诊偏见。卡西特·卡瓦斯基2003年出版；59：423-428。©2003 Wiley-Liss公司
This study sought to determine the impact of female gender on clinical outcome in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) due to predominant ventricular failure undergoing percutaneous coronary intervention (PCI). We analyzed gender-related differences in procedural, angiographic, and clinical outcomes in 208 consecutive patients with AMI complicated by CS. Out of 208 patients with CS, 65 were women and 143 men. Women were older than men (74 10 years vs. 66 12 years; P < 0.001) and had a greater incidence of a history of hypertension (43% vs. 29%; P 0.041). The 6-month mortality rate was 42% in women and 31% in men (P 0.157). There were no differences between groups in reinfarction rate and target vessel revascularization rate. Multivariate analysis showed age as the only variable independently related to the 6-month mortality, while female gender was not related to the risk of death. The benefit of early PCI is similar in women and men, and any potential referral bias in the use of PCI based on gender differences should be avoided. Cathet Cardiovasc Intervent 2003;59:423–428. © 2003 Wiley-Liss, Inc.
性别、年龄和其他因素对急性心肌梗死治疗的差异（斯坦福五城项目）。
DOI：
10.1016/s0002-9149(96)00457-2
发表时间：
1996
期刊：
The American journal of cardiology
影响因子：
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作者：
Oka,RK;Fortmann,SP;Varady,AN
通讯作者：
Varady,AN