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Myocardial infarction on elder 80 years old patients: women handicap

Objective

To analyze epidemiology and evolution differences between sex on elder 80 years old patients with myocardial infarction.

Methods

It is a retrospective analysis. Were included all patients elder 80 years admitted from 1-1-1990 to 31-10-1998 with a myocardial infarction. We used χ2 test and P < 0.05 to establish a statistically significant association.

Results

Were included 211 patients, 50.71% males. Myocardial infarction was anterior 71.09% cases and 81.04% patients developed Q wave. Pathological antecedents were: arterial hypertension 38.38%, coronary disease 33.17% and diabetes mellitus 26.54%.

Patients developed next complications: 13.74% supraventricular tachycardia, 6.16% complete atrioventricular block, 58.76% left ventricular failure, 35.07% cardiogenic shock and dead 40.28%.

Women had more antecedents of diabetes mellitus (32.69% vs 20.56%, P < 0.05), and developed more complete atrioventricular block (9.61% vs 2.80%, P < 0.05) and exitus (47.11% vs 33.64%, P < 0.05).

There was no statistically significance to compare pathological antecedents of arterial hypertension (38.46% vs 38.31%) and coronary disease (34.61% vs 31.77%), localization anterior (70.19% vs 71.96%), development of Q wave (80.76% vs 81.30%) and the development of left ventricular failure (59.61% vs 57.94%), cardiogenic shock (36.53% vs 33.64%) and supraventricular tachycardia (16.34% vs 11.21%).

Conclusions

Women have a higher mortality rate and more complete atrioventricular block.

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Lorente Ramos, L., Martín Velasco, M., Medina Sánchez, R. et al. Myocardial infarction on elder 80 years old patients: women handicap. Crit Care 5, P164 (2001). https://doi.org/10.1186/cc1231

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Keywords

  • Public Health
  • Hypertension
  • Diabetes Mellitus
  • Mortality Rate
  • Myocardial Infarction