SciELO - Scientific Electronic Library Online

vol.32 issue2Rate of coronary angiography without lesions (“blank”) of elective indication after functional studiesProspective analysis of cumulative incidence of delirium in the postoperative period of cardiac surgery author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links


Revista Uruguaya de Cardiología

Print version ISSN 0797-0048On-line version ISSN 1688-0420


BARRANCO, Daniela et al. Primary angioplasty in ST segment elevation myocardial infarction: differences according to gender. Uruguayan casuistic 2004-2012 substudy. Rev.Urug.Cardiol. [online]. 2017, vol.32, n.2, pp.141-149. ISSN 0797-0048.

Although gender differences in presentation and treatment for ST-segment elevation myocardial infarction (STEMI) have been previously reported, there is little information about the characteristics of our population.


to identify gender differences in clinical presentation, treatment and mortality rate of patients treated with primary coronary angioplasty (PTCA) in STEMI.

Methods and results:

historical cohort of 7.742 PTCA within 24 hours of STEMI in 7.337 patients (30.9% women) from 2004 to 2012 in Uruguay, under national financial coverage of the “Fondo Nacional de Recursos” were studied. Median follow-up was 4.3 years.

Female patients were significantly older than men, age 67.9 ± 12.1 versus 60.8 ±11.7 years (p=0.009). The rate of diabetes and cardiogenic shock were significantly higher in women versus men, respectively 24.4% vs 18.4%, p<0.001 and 7.6% vs 5.2%, p<0.001. Women received less treatment with fibrinolitics (5.5% vs 8.1%, p<0.001) and were performed less multivessel angioplasty (7.3% vs 9%, p< 0.013). They had higher mortality rate at the procedure day (2.9% vs 1.7%, p<0.001), 30 days (10.4% vs 6.5%, p<0.001), one year (15.4% vs 10.8%, p<0.001) and 5 years (27.9% vs 26.6%, p<0.001). In the multivariate analysis, female gender was not an independent predictor of 30-day mortality.


Despite women with STEMI present with higher risk characteristics, they were less completely treated and their mortality rate at any time of the follow-up was higher than that of men. However, being a woman was not an independent predictor of 30-day mortality.

Keywords : myocardial infarction; angioplasty; women.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )