2141-PUB: Advanced Age, Higher FPG, and Conservative Treatment Increases in Hospital Mortality Risk in Female Patients with Acute Myocardial Infarction: A Retrospective Study

Background: previous researches demonstrated that gender affected the in-hospital prognosis of acute myocardial infarction (AMI). Recent studies showed conflicting results. This study aimed to investigate the influence of gender, age, glycemia, treatment, and some risk factors on the in-hospital mortality after a first AMI. Method: Consecutive patients admitted with AMI from 2002 to 2018 were included in this study. Analysis were conducted with the SPSS 25.0 software. Results:1607 cases were enrolled in this study. Female patients had worse outcome, higher rate of cardiac shock, heart failure, Unadjusted in-hospital mortality was higher in women. Beides, female was older than male , had higher rate of diabetes, and preferred to take conservative treatment. Even though different gender had significant different outcome after AMI attack, logistic analysis revealed that gender itself was not the risk factor of AMI mortality. It showed that FPG≥7.0mmol/l,conservative treatment and age≥75 years-old were the risk factor of AMI mortality. Previous studies considered that gender is the important factor that affects the mortality rate of AMI, our study found it was not gender itself made that difference, it related to age, treatment and glycemia. Disclosure S. Luo: None. G. Luo: None. L. Wang: None. Y. Zhan: None. T. Li: None. L. Pang: None. H. Lu: None. Funding Five & Five Youth Talent Scientist Programme