Therapeutic effect of emergency PCI in female acute myocardial infarction patients with diabetes mellitus

doi:10.3969/j.issn.1009-0126.2015.11.009

Abstract：Objective To study the short‐term efficacy and safety of emergency PCI in elderly fe‐male acute myocardial infarction (AMI) patients with diabetes mellitus (DM ) .Methods One hundred and thirty‐five elderly AMI patients with DM who underwent emergency PCI were divid‐ed into female group (n= 46) and male group (n= 89) .Their clinical data ,risk score of global acute coronary vents registry ,characteristics of coronary artery lesion ,hospital stay time (day ) and incidence of complications were compared .Results The incidence of hyperlipidemia was sig‐nificantly higher in female group than in male group (80 .43% vs 62 .92% ,P=0 .037) .The histo‐ry of smoking and PCI was shorter and the incidence of angina pectoris before myocardial infarc‐tion was significantly lower in female group than in male group (P< 0 .05 ,P< 0 .01) .The risk score of global acute coronary vents registry was significantly higher in female group than in male group (45 .65% vs 25 .84% ,P<0 .05) .The postoperative TIMI3 flow and TIMI TMPG3 were significantly lower in female group than in male group (P<0 .001) .The diameter of implanted stents was significantly shorter and the implanted stents were significantly longer in female group thaninmalegroup(2.8±2.3mm vs3.1±0.4mm,28.5±3.7mm vs21.4±4.3mm,P<0.05). The average hospital stay time was significantly shorter ,the incidence of angina pectoris following myocardial infarction ,reinfarction during hospital stay ,the Killip Ⅲ‐Ⅳ and 30‐day mortality were significantly lower in female group than in male group (P< 0 .05 ,P< 0 .01) .Conclusion The TIMI3 flow and TMPG3 are low in elderly female AMI patients with DM after PCI with a high incidence of complications in male patients .