ST-elevation myocardial infarction in a real world population - An observational retrospective study with a sex perspective

Abstract Background Mortality after myocardial infarction is higher in women than in men. Data on the association between sex and mortality are conflicting and inconclusive. We evaluated whether there is a sex difference in survival and if sex is associated with the outcome in patients with ST-elevation myocardial infarction (STEMI). Methods We analyzed 3671 STEMI patients. Long-term and 30-day mortality in men and women were compared. Results Unadjusted mortality at day 30 was higher in women [221 (8.7%) men died compared to 147 (13.1%) women; p  Conclusion Female sex was associated with a lower risk of dying in the long term. However, risk factors, age, and comorbidities associated with female patients affected the worse outcome.