Impact of Sex and Contact-to-Device Time on Clinical Outcomes in Acute ST-Segment Elevation Myocardial Infarction—Findings From the National Cardiovascular Data Registry [Health Services and Outcomes Research]

BackgroundEmergent myocardial reperfusion via primary percutaneous coronary intervention is optimal care for patients presenting with ST‐segment elevation myocardial infarction (STEMI). Delays in such interventions are associated with increases in mortality. With the shift in focus to contact‐to‐device (C2D) time as a new perfusion metric, this study was designed to examine how sex affects C2D time and mortality in STEMI patients.Methods and ResultsClinical data on male and female STEMI patients were extracted and analyzed from the National Cardiovascular Data Registry from July 1, 2008 to December 31, 2014. A total of 102 515 patients were included in the final analytic cohort. The median C2D time in female patients with STEMI was delayed when compared to male patients (80 [65–97] versus 75 [61–90] minutes; P

Source: JAHA:Journal of the American Heart Association - January 11, 2017 Category: Cardiology Authors: Roswell, R. O., Kunkes, J., Chen, A. Y., Chiswell, K., Iqbal, S., Roe, M. T., Bangalore, S. Tags: Health Services, Mortality/Survival, Quality and Outcomes, Statements and Guidelines Original Research Source Type: research