SEX DIFFERENCES IN ACUTE MYOCARDIAL INFARCTION: BIRJAND, EASTERN IRAN

  Abstract The objective of this study was to compare baseline characteristics, risk factors, medical care and mortality of AMI in women and men. We used data from medical charts and administrative records of patients hospitalized with AMI from ۱۹۹۴ to ۲۰۰۳ in Birjand hospitals. Of ۹۱۸ patients, ۷۱.۹% were male and ۲۸.۱% were female. The women and men had mean ages of ۶۵.۶۲±۱۰.۵۶ years and ۵۸.۹۸±۱۲.۱۱ years, respectively. The prevalence of hypertension, diabetes mellitus, smoking was ۵۰, ۱۷ and ۱۳.۶ percent, respectively, in women and ۲۴.۶, ۹.۸ and ۳۶.۳ percent, respectively, in men (P<۰.۰۵). In-hospital mortality was higher in women but not significant (۱۰.۴% versus ۸.۶%, P=۰.۴۲). Fasting blood sugar, cholesterol and diastolic blood pressure were significantly higher in women. Mean age and the prevalence of diabetes and hypertension were higher in women with AMI. We recommend that interventional programs be designed to reduce the risk factors of AMI through education, especially in women.     Keywords: Acute myocardial infarction, women, medical care, risk factors.