Author/Editor		Kenda, MF; Turk, J; Stare, J; Bručan, A; Polc, R
Title		Sudden and expected death after acute myocardial infarction: are sex differences important?
Type		članek
Source		In: Adornato E, editor. Therapies for cardiac arrhythmias in 1996: where we are going? Proceedings of the 5th Southern symposium on cardiac pacing. Vol 2; 1996 Sep 10-14; Taormina. Roma: Edizioni Luigi Pozzi,
Publication year		1996
Volume		str. 55-60
Language		eng
Abstract		On the basis of our results we can conclude that males had AMI at about 60 years of age and females at about 70 years. This is a remarkable difference of age which must be taken into consideration in all statistical analyses. The suddenly deceased pts were statistically younger which also partains to males, whereas it is not satistically significant in females. The percentage of sudden death in males was higher than in females. The survival curves for suddenly or expectedly deceased did not show any significant differences. We found out that crude mortality in post-infarction period was highly statistically significant in females than in males. Analyzing the major covariates we stated that the percentage of congestive heart failure, diabetes, hypertension and atrial tachyarrhythmias was statisticantly higher in deceased women than in men. If we look at the survival after AMI (age and covariates adjusted), basides the major covariates, reinfarction, anterior localization of the infarction, ventricular tachycardia, atrial tachyarrhythmia, AV conduction and intraventricular conduction disturbances play a role in slight deterioration in prognosis after AMI in females. There is no doubt about the existence of difference in mortality and morbidity after AMI between male and female gender. The question is - is it oly the role of the sex or is the reason in older female pts. with more comorbidity?
Descriptors		MYOCARDIAL INFARCTION DEATH, SUDDEN, CARDIAC ACUTE DISEASE HEART FAILURE, CONGESTIVE RISK FACTORS AGE FACTORS