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TUESDAY, Sept. 29, 2020 (HealthDay News) — Among young adults with acute myocardial infarction-cardiogenic shock (AMI-CS), women are treated less aggressively and have higher in-hospital mortality than men, according to a study published online Sept. 29 in Circulation: Heart Failure<\/i>.<\/p>\n
Saraschandra Vallabhajosyula, M.D., from the Emory University School of Medicine in Atlanta, and colleagues identified a retrospective cohort from the National Inpatient Sample of individuals aged 18 to 55 years who were admitted for AMI-CS during 2000 to 2017. Data were included for 90,648 AMI-CS admissions; 26 percent of these admissions were among women.<\/p>\n
The researchers found that the rates of CS were higher in men (2.2 percent in 2000 and 4.8 percent in 2017) compared with women (2.6 percent in 2000 and 4 percent in 2017). Women with AMI-CS were more often Black, had lower socioeconomic status and higher comorbidity, and were more often admitted to rural and small hospitals compared with men. Women experienced lower rates of ST-segment elevation presentation, acute noncardiac organ failure, and cardiac arrest; they also received less-frequent coronary angiography, early coronary angiography, percutaneous coronary intervention, and mechanical circulatory support. In-hospital mortality was independently predicted by female sex. Lower hospitalization costs were seen for women, but their length of stay was comparable to that of men.<\/p>\n
“Further quantitative and qualitative research is needed in these vulnerable populations to better understand the underlying reasons for these differences in resource utilization in this high-risk population and what can be done to improve the outcome,” the authors write.<\/p>\n
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