The Impact of Gender on the Outcomes of Invasive versus ...
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Effect of Gender on NSTEMI Outcomes—Li-Ching Lee et al
Original Article
The Impact of Gender on the Outcomes of Invasive versus Conservative Management of Patients with Non-ST-Segment Elevation Myocardial Infarction Li-Ching Lee,1MBBS, MRCP, Kian-Keong Poh,1FRCP, FAMS, FACC, Tiffany PL Tang,1MBBS, MRCP, Yee-Leng Tan,1MBBS, MRCP, Han-Wen Tee,1MBBS, Huay-Cheem Tan,1FRCP, FAMS, FACC
Abstract Introduction: Studies have suggested that women who present with non-ST-segment elevation myocardial infarction (NSTEMI) may differ in their clinical response to early invasive strategy compared to male patients. We examined the impact of gender difference in NSTEMI patients on outcomes following invasive versus conservative treatment. Materials and Methods: Patients enrolled in our national myocardial infarction (MI) registry between January 2000 and September 2005 with diagnosis of NSTEMI were retrospectively analysed. The study endpoint was the occurrence of major adverse cardiac events (MACE) in the patients at 1 year. Results: A total of 1353 patients (62.2% male) with NSTEMI were studied. The mean age of men was 62 ± 14 versus 72 ± 12 years in women in the cohort (P