Gender gap in medical care in ST segment elevation myocardial infarction networks: Findings from the Catalan network Codi Infart.

Abstract Objective To assess the impact of gender upon the prognosis and medical care in a regional acute ST-elevation myocardial infarction management network. Design An observational study was made of consecutive patients entered in a prospective database. Scope The Catalan acute ST-elevation myocardial infarction management network. Patients Patients treated between January 2010 and December 2011. Interventions Primary angioplasty, thrombolysis or conservative management. Variables of interest Time intervals, proportion and type of reperfusion, overall mortality, and in-hospital complication and overall mortality at 30 days and one year were compared in relation to gender. Results Of the 5831 patients attended by the myocardial infarction network, 4380 had a diagnosis of acute ST-elevation myocardial infarction, and 961 (21.9%) were women. Women were older (69.8 ± 13.4 vs. 60.6 ± 12.8 years; p p  I (24.9 vs. 17.3%; p p p p p  = .031), in-hospital mortality (4.8 vs. 2.6%; p  = .001), 30-day mortality (9.1 vs. 4.5%; p p Conclusions Despite a higher risk profile and poorer medical management, women present similar 30-day and one-year outcomes as their male counterparts in the context of the myocardial infarction management network.