Yentl Syndrome in Taiwan:Experience in Patients with Acute Coronary Syndrome

Yentl Syndrome的台灣現況：在急性心肌梗塞病患的經驗

鄧學儒(Hsueh-Ju Teng) ； 張珩(Hang Chang) ； 洪啟仁(Chi-Ren Hung) ； 黃錦足(Chin-Tsu Huang) ； 王宗倫(Tzong-Luen Wang)

《中華民國急救加護醫學會雜誌》 12卷3期 (2001/09) Pp. 103-110

https://doi.org/10.30018/JECCM.200109.0002

摘要

We investigated whether a gender bias exists in considering reperfusion therapy for patients with acute myocardial infarction. We retrospectively reviewed 209 patients (152 men and 57 women) with acute myocardial infarction from January 1998 to February 2000. The women were significantly older than the men (71.1±15.5 years vs. 60.6±12.8,P＜0.001), and had higher incidences of diabetes (33/57 vs. 43/152, P = 0.001) and hypertension (49/57 vs. 70/152, P = 0.018) but a lower incidence of smoking (10/57 vs. 107/152,P＜0.00001).The “onset-to-door” time and the “door-to-reperfusion” time were similar between the two genders. No differences could be found in location and extent of coronary artery disease. However, there was a significant difference in the use of reperfusion therapy between the men and the women (129/152 vs.26/57,P＜0.0001).Multivariate regression analysis model indicates that gender instead of age was the only independent factor. In conclusion, our study revealed that there are gender differences between men and women in referral to reperfusion therapy for acute myocardial infarction in Taiwan.

關鍵字

Yentl症候群 ； 心肌梗塞 ； 重灌流

並列摘要

We investigated whether a gender bias exists in considering reperfusion therapy for patients with acute myocardial infarction. We retrospectively reviewed 209 patients (152 men and 57 women) with acute myocardial infarction from January 1998 to February 2000. The women were significantly older than the men (71.1±15.5 years vs. 60.6±12.8,P＜0.001), and had higher incidences of diabetes (33/57 vs. 43/152, P = 0.001) and hypertension (49/57 vs. 70/152, P = 0.018) but a lower incidence of smoking (10/57 vs. 107/152,P＜0.00001).The “onset-to-door” time and the “door-to-reperfusion” time were similar between the two genders. No differences could be found in location and extent of coronary artery disease. However, there was a significant difference in the use of reperfusion therapy between the men and the women (129/152 vs.26/57,P＜0.0001).Multivariate regression analysis model indicates that gender instead of age was the only independent factor. In conclusion, our study revealed that there are gender differences between men and women in referral to reperfusion therapy for acute myocardial infarction in Taiwan.

並列關鍵字

Yentl syndorme ； myocardial infarction ； reperfusion