性别对ST段抬高的急性心肌梗死急诊冠脉介入治疗预后的影响

目的: 探讨性别对ST段抬高的急性心肌梗死（STEMI）患者急诊冠脉介入治疗（PCI）预后的影响。方法: 164例STEMI患者急诊PCI后，观察其临床及冠脉介入治疗特征和院内全因死亡率。结果: 女性患者的平均年龄较大，并发糖尿病的比例较高，低密度脂蛋白胆固醇较高，梗死相关血管介入治疗前TIMI Ⅲ级血流的比例较高，而吸烟率和入院时的舒张压明显较低。但两组的梗死相关血管内血栓发生率、PCI后TIMI Ⅲ级血流的比例及院内病死率均无统计学差异。结论: 性别对STEMI患者急诊PCI近期预后无明显影响。

Impact of gender on prognosis of patients with ST-elevated acute myocardial infarction treated with percutaneous coronary intervention

AIM: To investigate the impact of gender on the prognosis of patients with ST-elevated acute myocardial infarction (STEMI) treated with emergency percutaneous coronary intervention (PCI). METHODS: One hundred and sixty four STEMI patients (130 males vs.34 females) who had been treated with emergency PCI were evaluated on clinical and angiographic characteristics and mortality of all causes during hospitalization. RESULTS: Mean age of women was older than that of men, and women had a higher incidence of diabetes mellitus compared with that of men. LDL-C level of women was also higher than that of men. Rate of smokers and diastolic pressure on admission were lower. No significant difference was observed between genders in mortality, rate of thrombus in infarct-related artery and percentage of TIMI III flow after PCI. CONCLUSION: Gender had no obvious effect on the short-term prognosis of STEMI patients treated with emergency PCI.