Age- and gender-related disparities in primary percutaneous coronary interventions for acute ST-segment elevation myocardial infarction

Thomas Pilgrim, Dik Heg, Kali Tal, Paul Erne, Dragana Radovanovic, Stephan Windecker, Peter Jüni, Osmund Bertel, Franz Eberli, Manfred Essig, Juan Iglesias, Raban Jeger, Marco Maggiorini, Giovanni Pedrazzini, Milo Puhan, Hans Rickli, Marco Roffi, Jean Christophe Stauffer, Philip Urban, Michael Zellweger

Research output: Contribution to journalArticlepeer-review

Abstract

Background Previous analyses reported age- and gender-related differences in the provision of cardiac care. The objective of the study was to compare circadian disparities in the delivery of primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) according to the patient's age and gender. Methods We investigated patients included into the Acute Myocardial Infarction in Switzerland (AMIS) registry presenting to one of 11 centers in Switzerland providing primary PCI around the clock, and stratified patients according to gender and age. Findings A total of 4723 patients presented with AMI between 2005 and 2010; 1319 (28%) were women and 2172 (54%) were ≥65 years of age. More than 90% of patients 90 minutes was found in elderly males (adj HR 1.66 (95% CI 1.40-1.95), p

Original languageEnglish (US)
Article numbere0137047
JournalPLoS One
Volume10
Issue number9
DOIs
StatePublished - Sep 9 2015
Externally publishedYes

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

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