Abstract 70: Females With Acute Myocardial Infarction Are Still Undertreated

Objective: To identify differences in management and outcomes in males versus females with acute myocardial infarction(AMI) presenting to our institution.

Methods: Retrospective analysis of patients between the ages of 18 to 89 years old presenting to SUNY Upstate Medical University with a diagnosis of AMI defined as either STEMI or NSTEMI from March 2021 to September 2021. Patients with diagnosis of demand ischemia were excluded.

Results: From a total of 236 patients, 44.1% (104 out of 236) were females. The age in both groups was similar with mean of 63.64 (SD 14.5) years old in males and 66.36(SD 14.2).

Only 53.8% (56 of 104) Females were admitted to intensive care level of service versus 72% (95 of 132) males (P 0.004 OR 0.264-0.781).

Cardiac catheterizations were done more frequently in males than females 78.8% (104 of 132) and 67.3% (71 of 104) respectively (P0.047). Between patients who underwent cardiac catheterization 45.7% (33 of 70) females and 66.3% (69 of 104) males received PCI. More males had depressed left ventricular ejection fraction 50.8% (64 of 132) versus 32% (31 of 104) females. Although not statistically significant, 30-day mortality was more frequent in women 10.6% (11 of 104) compared to males 6.8% (9 of 132).

Conclusions: Females with AMI where less likely to be admitted to the ICU or undergo cardiac catheterization. They had either similar or worse 30-day mortality, despite having lower rates of coronary disease requiring intervention. These findings support the fact that despite the efforts taken in the last several years, women with AMI are still being undertreated.