Features of myocardial infarction in women based on the materials of the cardiology department of the N.A. Semashko republican hospital

Sodnomova Larisa Baldanovna, Spasova Tatiana Evgenievna

A personalized approach is required to improve the effectiveness of medical care for patients with different nosologies, including myocardial infarction (MI). This is taking into account the gender characteristics of the development and course of IM. The purpose of the work is to study the features of the course, therapeutic and diagnostic approaches, outcomes of myocardial infarction in women compared with men. Research materials and methods: 84 case histories of patients with myocardial infarction admitted to the cardiology department in the period October-November 2020. The patients were divided by gender into two groups - men (50 people) and women (34 people). Statistical data processing was carried out using Microsoft Excel, STATISTICA 10 programs. The results of the study: in women, MI developed at an older age, they more often had comorbid conditions. In the clinical picture of MI, atypical symptoms occur more often in women - 18% versus 8% in men (p -0.05), which leads to an extension of the "symptom -hospitalization" time. Women are more likely to develop Q-negative and repeated myocardial infarction. The frequency of coronary angiography and reperfusion therapy did not significantly differ between the two groups. Despite the older age, the mortality rate from MI among women did not exceed that among men.

Keywords:cardiovascular diseases (CVD), coronary heart disease (CHD), myocardial infarction (MI), gender differences, mortality, revascularization, reperfusion therapy.