New Heart Attack Findings from University Hospital Munster Described (St-elevation Myocardial Infarction As a First Event Sex- and Age-related Mortality): Heart Disorders and Diseases – Heart Attack

2022 AUG 24 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Researchers detail new data in Heart Disorders and Diseases - Heart Attack. According to news reporting from Munster, Germany, by NewsRx journalists, research stated, “Survival after ST-elevation myocardial infarction (STEMI) as a first event in Germany was analyzed. Adults with a first-event STEMI were included for analysis on the basis of insurance data from a German health insurance provider (AOK; approximately 26 million members; median follow-up 48.5 months).”

Financial support for this research came from Federal Joint Committee, Innovation Fund (G-BA, Innovationsfonds).

The news correspondents obtained a quote from the research from University Hospital Munster, “The primary endpoints were 30-day mortality, reinfarction or death, major adverse cardiovascular and cerebro - vascular events (MACCE), long-term survival for more than 90 days, and overall survival (OS). STEMI occurred in 17 444 patients (32.8% women). The women were older than the men (median age 74 versus 60 years) and suffered more frequently from cardiovascular comorbidities such as diabetes mellitus, chronic renal disease, and arterial hypertension. Women underwent endovascular or surgical treatment less frequently, but sustained complications (cardiogenic shock, resuscitation) more frequently. After adjustment of the data, women were at higher risk of 30-day mortal-ity (odds ratio [OR] 1.17, 95% confidence interval [95% CI] [1.07; 1.28]), reinfarction or death (hazard ratio [HR] 1.09, 95% CI [1.04; 1.16]), MACCE (HR 1.09, 95% CI [1.04; 1.15]), and poorer OS (HR 1.10, 95% CI [1.04; 1.17]). This effect was especially pronounced in women aged <= 60 years. No differences between the sexes were seen among patients who survived for 90 days after the infarction. In Germany, women <= 60 years display a higher 30-day mortality after first-event STEMI, which affects their overall survival.”

According to the news reporters, the research concluded: “Younger women should re-ceive intensified medical attention after STEMI, especially in the early phase.”

This research has been peer-reviewed.

For more information on this research see: St-elevation Myocardial Infarction As a First Event Sex- and Age-related Mortality. Deutsches Aerzteblatt Online, 2022;119(16). Deutsches Aerzteblatt Online can be contacted at: Deutscher Aerzte-verlag Gmbh, Dieselstrabe 2, Postfach 400265, D-50859 Cologne, Germany.

Our news journalists report that additional information may be obtained by contacting Alicia Jeanette Fischer, University Hospital Munster, Dept Cardiol Congenital Heart Defects & Valvular, Munster, Germany. Additional authors for this research include Jannik Feld, Joachim Gerss, Jeanette Koeppe, Lena Makowski, Christiane Engelbertz, Leonie Kuehnemund, Eva Freisinger, Holger Reinecke, Christian Guenster, Patrik Droege and Thomas Ruhnke.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.3238/arztebl.m2022.0161. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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