THE RELATIONSHIP OF GENDER WITH IMMEDIATE RESULTS OF PERCUTANEOUS CORONARY INTERVENTION IN PATIENTS WITH MYOCARDIAL INFARCTION WITH ST-SEGMENT ELEVATION

In comparative gender analysis course of MI with ST-segment elevation of 156 patients who were divided into 2 groups: group I (n = 42 males, n = 38 female) ? patients who completed PCI with stenting -dependent artery in terms of> 2 <6 hours from symptom onset and the second group (n = 36 males, n = 40 women) ? patients who completed PCI in terms of> 6 <12 hours after onset of symptoms. Immediately after PCI during hospital period evaluated in patients develop fatal and non-fatal cardiovascular events: recurrence of pain, acute left ventricular failure class (ALVF) II-V by Killip, arrhythmias and conduction recurrence of MI, hemorrhage, mortality. The development of these events in patients regarded as a manifestation of adverse flow. Deferral> 6 hours in performing PCI in women is associated with an increase in the incidence of (ALVF) 37.2%, arrhythmias and conduction at 66.2%, recurrence of MI in 60.2% of mortality in 2,7 times compared with men (p <0.05). Conducting invasive reperfusion therapy for MI in women after 6 hours increases the frequency of ALVHF 2.3 times (p <0.001), arrhythmias and conduction 1.6 times (p <0,05), recurrence of MI in 3.9 fold (p <0,001) and mortality at 11.5 times (p <0,001) compared with women who PCI was carried out in terms of > 2 <6 hours.