摘要
用朝鲜数据的以前的研究已经更高报导了的 BackgroundAlthough 在女人死亡评价，在预后的这些性差别是否张贴圣片断举起，是不太清楚的心肌的梗塞(STEMI ) ，很长时间依赖者。这研究的目的是在病人与早、迟了的死亡检验性年龄相互作用， STEMI 在朝鲜全国性的 registry.MethodsThis 注册了未来的从 17,021 个 STEMI 病人根据性和年龄学习成层的结果。我们比较了在里面医院，早(30 天) 并且迟了(12 个月) 在性到之间的死亡在 multivariable models.ResultsIn 检验性年龄相互作用更年轻的女人(< 60 年) ，在里面医院[5.8% 对 2.5% ， P < 0.001；unadjusted 机会比率(或) ：2.41， 95% 信心间隔(CI ) ：1.59-3.66 ] ，早(6.2% 对 2.6% ， P < 0.001；unadjusted 或：2.4， 95% CI：2.12-2.72 ) 并且迟了的死亡(7.0% 对 3.1% ， P > 0.001；unadjusted 或：2.33， 95% CI：2.08-2.61 ) 与男人相比是显著地更高的。然而在为耐心的特征的调整以后， Killip 班 3 ，症状到流血的汽球时间和专业，并且在里面医院流血全面早、迟了的死亡不再与在任何年龄 groups.ConclusionsAmong 的性有关有 STEMI 的一张朝鲜人口，在更年轻的女人的更高早、迟了的死亡可以被差的耐心的特征解释，更高的 Killip 班 3 ，更长的症状到汽球时间和流血的更经常的专业。基于性年龄差别，因此，更精确、好攻击的预防策略集中了于风险因素减小，教育和更集中的管理因为更年轻的女人应该被执行。
Background Although previous studies using Korean data have already reported higher rates of mortality in women, it is less clear whether these gender differences in prognosis post ST-segment elevation myocardial infarction （STEMI）, are age dependent. The aim of this study is to examine the gender-age interaction with early and late mortality in patients with STEMI enrolled in the Korean nationwide regis-try. Methods This prospective study stratified outcomes according to gender and age from 17,021 STEMI patients. We compared in-hospital, early （30 days） and late （12 months） mortality between gender to examine the gender-age interaction in multivariable models. Results In younger women （〈 60 years）, in-hospital [5.8% vs. 2.5%, P 〈 0.001; unadjusted odds ratios （OR）： 2.41, 95% confidence inter-vals （CI）： 1.59-3.66], early （6.2% vs. 2.6%, P 〈 0.001; unadjusted OR： 2.4, 95% CI： 2.12-2.72） and late mortality （7.0% vs. 3.1%, P 〉 0.001; unadjusted OR： 2.33, 95% CI： 2.08-2.61） were significantly higher compared with men. However, after adjustment for patient characteristics, Killip class ≥ 3, symptom to balloon time and major bleeding, and in-hospital bleeding, overall early and late mortality were no longer re-lated to gender in any age groups. Conclusions Among a Korean population with STEMI, higher early and late mortality in younger women may be explained by poor patient characteristics, higher Killip class ≥3, longer symptom to balloon time and more frequent major bleeding. Therefore, based on gender-age differences, more precise and aggressive preventive strategies focused on risk factor reduction, education and more intensive management for yotmger women should be performed.
