Women Are Less Likely to Survive AMI Presenting With Out-of-Hospital Cardiac Arrest: A Nationwide Study.
Mayo Clinic Proceedings
OBJECTIVE: To assess the impact of patient's sex on outcomes and management of acute myocardial infarction (AMI) patients presenting with out-of-hospital cardiac arrest (OHCA).
PATIENTS AND METHODS: We conducted a population-based retrospective cohort study in AMI patients admitted with OHCA between 2010 and 2017 from the Myocardial Ischaemia National Audit Project (MINAP) registry. We used multivariable logistic regression models to evaluate the role of sex as a predictor of clinical outcomes and treatment strategy.
RESULTS: Of 16,278 patients, women constituted almost one-quarter of the population (n=3710 [22.7%]). Women were older (median age 69 [IQR, 57-79] years vs 63 [IQR, 54-72] years, P
CONCLUSION: Women were less likely to survive following OHCA secondary to AMI. Hospital protocols that minimize physician bias and improve women-physician communication are needed to close this gap.
Dafaalla M, Rashid M, Van Spall HGC, Mehta L, Parwani P, Sharma G, et al. Women are less likely to survive AMI presenting with out-of-hospital cardiac arrest: a nationwide study. Mayo Clin Proc. 2022 Sep;97(9):1608-1618. doi: 10.1016/j.mayocp.2022.06.011. PMID: 36058575.