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Background : The purpose of this study was to compare differences in symptoms of acute myocardial infarction (AMI) between
men and women. Methods and Results : We conducted a retrospective analysis of all patients admitted at coronary care unit
(CCU) under the diagnosis of AMI between Nov 2005 and Jun 2007. A total of 926 patients, 261 women and 665 men, were
analyzed. Prevalence of risk factors was similar in both men and women, except for smoking (male 57.9% vs. female 7.3%,
p<0.05). Typical symptom (chest pain) was the most common as an initial symptoms in both men and women. However, female
AMI patients experienced dyspnea or other atypical pain more frequently (14.2% vs. 6.3%), and had higher Killip class above
III (16.9% vs. 6.3%, p<0.05) than in male patients. Conclusions : Atypical symptom was more common in female AMI patients
than in men and might be related with higher mortality in female patients.. |
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