Background: Though it is known that there are differences between male and female STEMI patients on their incidence, age, clinical presentation and mortality, little is known if there are any differences post primary percutaneous coronary intervention in terms of clinical outcome and angiographic findings especially in our locality. This study aimed to evaluate the clinical and angiographic profile and outcomes of patients undergoing Primary Percutaneous Coronary Intervention according to gender.
Methodology: The sample consisted of patients admitted with STEMI who underwent Primary Percutaneous Coronary Intervention between January 2017 and December 2017.
The study was a cross sectional analytical, observational, single-center, descriptive, and comparative study (by gender), carried out with data collected from medical records and information obtained and recorded in the Interventional Cardiology Laboratory.
Results: The study included a Total of 173 patients with 147 males and 26 females. The female gender had a higher incidence of in hospital clinical mortality outcome compared to the male gender (Male 8.84% vs Female 23.08%; p value 0.044). In terms of complications, there was a significant difference between the male and female genders on Stroke and the need for transvenous pacemaker insertion (Male: 4.08% vs Female: 23.08%; p value 0.003).
Conclusion: Females have a higher in hospital mortality rate and a higher complication rate in terms of stroke and an indication for TPI after primary percutaneous coronary intervention.