The course of the primary myocardial infarction with ST elevation in men and women of different ages
Morozova A.M., Kukharchik G.A.
North-West State Medical University named after I.I. Mechnicov, 41, Kirochnaya str., 191015, St Petersburg, Russia
Cardiovascular diseases are the main cause of death in the world. The course of myocardial infarction often is atypically in elderly and senile patients and has a lot of complications on the background of comorbidities. The aim of our study was to compare course and treatment of myocardial infarction with ST elevation among men and women different ages in real clinical practice. 565 cases of history of patients with primary myocardial infarction with ST elevation have been analyzed. Such risk factors of coronary arteries diseases as age, hypertension, diabetes mellitus, multivessels damage were founded frequently in women, they were less undergone early reperfusion, and their treatment often was incompleted. Elderly and senile patients had comorbidities frequently, and they were less undergone early revascularization, their treatment was also incompleted. These groups of patients had more severe course of myocardial infarction, accompanied with complications and adverse outcomes. Key words: myocardial infarction, complications, sex, age.
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