The study was done to clarify the pattern and in-hospital course of female patients admitted to CCU with acute-coronary syndromes compared to that of male patients presenting with the same syndrome. The study comprised 60 female patients with mean age of 62.1 ± 13.2 yand 13.2y and 76 male patients with mean age 53 ± 12.5 y. Both males and females were classified to 2 groups according
to the type of anginal syndrome namely ST elevation myocardial infarction (NSTEMn and Unstable angina (UA). All patients were subjected to thorough history taking, full clinical examination, strict follow up during hospitalization, electrocardiography, laboratory assessment of cardiac markers, blood sugar, CBC, total serum cholesterol, urine and liver function tests. The conventional protocol of ACS management was followed and streptokinase (1.500, 000 Units) infusion was given for patients presenting with STEM! unless there was a contraindication. Non of our patients had underwent urgent coronary angiography or revascularization. The results showed that women with ACS were older as the mean age of female patients was (62.1 ±13.2) and that of male patients was (53 ± 12.5), more likely to have a history of hypertension, presented to the hospital more late than men after the onset
of symptoms, more likely to present with NSTE MI especially unstable angina. It also showed that women presenting with STEMI had worse in -hospital outcome than men as they were more likely to have congestive heart failure than men and on the other
hand Men & Women with NSTEMI had similar in hospital course and mortality.
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