{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T18:56:35Z","timestamp":1775328995320,"version":"3.50.1"},"reference-count":0,"publisher":"Instituto Nacional Cardovascular - Carlos Alberto Peschiera Carrillo","issue":"1","license":[{"start":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T00:00:00Z","timestamp":1588550400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Peru Cardiol Cir Cardiovasc"],"abstract":"<jats:p>Objective: To determine the epidemiological characteristics, location of the infarction, type and times of reperfusion, as well as in-hospital adverse events, distributed by sex in patients with ST-segment elevation myocardial infarction (STEMI) in Peru.\r\nMethods: It is a sub-analysis of the PEruvian Registry of ST-segment Elevation Myocardial Infarction (PERSTEMI), which was an observational, prospective and multicenter study about patients over 18years-old, who were hospitalized for ST-segment elevation myocardial infarction. Epidemiological and clinical characteristics, management and in-hospital adverse events were compared according to sex.\r\nResults: 396 patients were studied, 20.9% were female, with a predominance of octogenarian populationover men. High blood pressure was the most frequent risk factor in women (74.7 Vs. 50%, p =0.001); as well as atypical clinical manifestations such as dyspnea (40.9 Vs. 27.1%, p = 0.012) and syncope (10.8 vs. 3.8%, p = 0.017). On the other hand, the inferior wall myocardial infarction was more frequent in women (51.8 vs. 38.98%). There were no significant differences regarding the reperfusion therapy used (Fibrinolysis, primary PCI, PCI in general); as well as in times of ischemia (6 vs. 5.6 hours, p = 0.456), reperfusion times and hospital stay between both sexes. However, the female sex presented higher in-hospital mortality (21.6 vs. 7%, p = 0.001), mechanical complications (8.4 vs. 1.9%, p =0.008), cardiogenic shock (15.6 vs. 9.5%, p= 0.087) and heart failure (33.7 vs. 24.9%, p = 0.072).\r\nConclusions: STEMI in females presents at significantly older age compared to males and is associated with higher in-hospital mortality and mechanical complications.<\/jats:p>","DOI":"10.47487\/apcyccv.v1i1.10","type":"journal-article","created":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T17:43:23Z","timestamp":1599241403000},"page":"31-36","source":"Crossref","is-referenced-by-count":3,"title":["Diferencias relacionadas al Sexo en pacientes con Infarto Agudo de Miocardio ST elevado","Sex-related differences in patients with ST-segment elevation myocardial infarction"],"prefix":"10.47487","volume":"1","author":[{"given":"Francisco","family":"Ch\u00e1vez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Espinola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Chac\u00f3n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26947","published-online":{"date-parts":[[2020,5,4]]},"container-title":["Archivos Peruanos de Cardiolog\u00eda y Cirug\u00eda Cardiovascular"],"original-title":[],"link":[{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/10\/6","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/10\/6","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T05:54:20Z","timestamp":1719122060000},"score":1,"resource":{"primary":{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/view\/10"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,4]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,3,30]]}},"URL":"https:\/\/doi.org\/10.47487\/apcyccv.v1i1.10","relation":{},"ISSN":["2708-7212"],"issn-type":[{"value":"2708-7212","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,4]]}}}