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Gender differences in long-term mortality in ischemic heart disease: results from a prospective all-comers percutaneous coronary intervention registry in Romania Cover

Gender differences in long-term mortality in ischemic heart disease: results from a prospective all-comers percutaneous coronary intervention registry in Romania

Open Access
|Jun 2025

Figures & Tables

Figure 1

All-cause mortality among the studied population.

Figure 2

Cardiovascular-cause mortality among the studied population.

Figure 3

Predictors of survival in multivariate Cox proportional hazards models in different clinical forms of ischemic heart disease.

Figure 4

Predictors of survival in multivariate Cox proportional hazards models in males and females.

Demographic and clinical characteristics of the studied population_

ParameterAll patients (n=7442)Females (n=2234)Males (n=5208)p value
In hospital death256/7442 (3.44%)116/2234 (5.19%)140/5208 (2.69%)0,0005
Age (years)65.04 (57.56 - 71.87)67.52 (60.75 - 74.22)64.03 (55.76 - 70.74)<0.0001
BMI (kg/m2)28.37 (25.81 - 31.44)28.36 (25.39 - 32.03)28.37 (25.95 - 31.24)0,54415
Prior MI1574/7442 (21.15%)412/2234 (18.44%)1162/5208 (22.31%)0,0005
Prior CABG201/7442 (2.7%)45/2234 (2.01%)156/5208 (3%)0,01799
Prior PCI1902/7442 (25.56%)539/2234 (24.13%)1363/5208 (26.17%)0,07696
Stroke/TIA515/7442 (6.92%)183/2234 (8.19%)332/5208 (6.37%)0,008
Atrial fibrillation869/7442 (11.68%)293/2234 (13.12%)576/5208 (11.06%)0,0075
Peripheral artery disease804/7442 (10.8%)200/2234 (8.95%)604/5208 (11.6%)0,0015
Chronic kidney disease569/7442 (7.65%)204/2234 (9.13%)365/5208 (7.01%)0,001
Valvular heart disease456/7442 (6.13%)173/2234 (7.74%)283/5208 (5.43%)0,0005
Dilated cardiomyopathy628/7442 (8.44%)154/2234 (6.89%)474/5208 (9.1%)0,0015
Chronic heart failure863/7442 (11.6%)210/2234 (9.4%)653/5208 (12.54%)0,0005
COPD662/7442 (8.9%)165/2234 (7.39%)497/5208 (9.54%)0,0035
Smoking status0 (0 - 1)0 (0 - 1)1 (0 - 1)<0.0001
Smokers3257/7442 (42.07%)596/2234 (26.68%)2661/5208 (51.09%)<0.0001
Diabets Mellitus1479/7442 (19.87%)460/2234 (20.59%)1019/5208 (19.57%)0,30535
Hypertension3872/7442 (52.03%)1165/2234 (52.15%)2707/5208 (51.98%)0,90455
Dyslipidemia3025/7442 (40.65%)871/2234 (38.99%)2154/5208 (41.36%)0,04998
LVEF (%)50 (40 - 55)50 (40 - 55)50 (40 - 55)<0.0001
ICU stay346/7442 (4.65%)120/2234 (5.37%)226/5208 (4.34%)0,05497
ACS-STE1917/7442 (25.76%)611/2234 (27.35%)1306/5208 (25.08%)0,04498
ACS-NSTEMI621/7442 (8.34%)196/2234 (8.77%)425/5208 (8.16%)0,3958
ACS-UA1386/7442 (18.62%)430/2234 (19.25%)956/5208 (18.36%)0,3903
CCS3518/7442 (47.27%)997/2234 (44.63%)2521/5208 (48.41%)0,003
Time from symptom onset to hospitalization (hours)9.69 (5.26 - 21.39)10.6 (5.78 - 24.02)9.07 (5.13 - 20.68)0,03767
Time from hospitalization to PCI (hours)24.93 (3.1 - 56.7)24.52 (2.51 - 51.14)25.08 (3.27 - 62.27)0,01517
Time from symptom onset to PCI hours17.06 (6.42 - 54.68)19.29 (7.8 - 60.31)16.16 (6.04 - 47.22)0,02729
RCA angioplasty0 (0 - 1)0 (0 - 1)0 (0 - 1)0,75875
LAD angioplasty0 (0 - 1)0 (0 - 1)0 (0 - 1)0,2436
CXA angioplasty0 (0 - 1)0 (0 - 0)0 (0 - 1)0,00241
LM angioplasty401/7126 (5.63%)130/2146 (6.06%)271/4980 (5.44%)0,33583
Number of diseased coronary2 (1 - 3)2 (1 - 3)2 (1 - 3)0,07018
Proximal segment angioplasty3198/7126 (44.88%)970/2146 (45.2%)2228/4980 (44.74%)0,73663
Segments treated1 (1 - 2)1 (1 - 2)1 (1 - 2)0,14471
TIMI pre PCI2 (0 - 3)2 (0 - 3)2 (0 - 3)0,49294
TIMI post PCI3 (3 - 3)3 (3 - 3)3 (3 - 3)0,89929
Complete revascularization2532/6950 (36.43%)800/2084 (38.39%)1732/4866 (35.59%)0,03298
Radial vascular access5669/7442 (76.18%)1641/2234 (73.46%)4028/5208 (77.34%)0,0015
Vascular closure device477/7442 (6.41%)178/2234 (7.97%)299/5208 (5.74%)0,001
Cardiogenic shock171/7442 (2.3%)72/2234 (3.22%)99/5208 (1.9%)0,0015
CPR during hospitalization183/7442 (2.46%)82/2234 (3.67%)101/5208 (1.94%)0,0005
Hospitalization days5.3 (3.8 - 7.2)5.5 (3.8 - 7.5)5.2 (3.8 - 7.1)0,08437
CK MB U L Max45 (23 - 165)52 (25 - 171.25)43 (23 - 161)0,00979
Total cholesterol (mg/dL)166 (136 - 203)174 (144 - 211)163 (134 - 200)<0.0001
HDL cholesterol (mg/dL)36 (30 - 42)39 (32 - 45.62)34 (29 - 41)<0.0001
LDL cholesterol (mg/dL)97 (74 - 129)102 (79 - 136)96 (71 - 126)<0.0001
Triglyceride (mg/dL)127 (93 - 182)128 (95 - 181)127 (91.68 - 183)0,80268
Creatinine (mg/dL)0.91 (0.79 - 1.1)0.82 (0.73 - 1.02)0.94 (0.83 - 1.11)<0.0001
CrCl (ml/min)77.04 (58.23 - 93.36)68.67 (45.44 - 81.32)82.97 (63.28 - 97.71)<0.0001
Hemoglobin (g/dL)13.5 (12.4 - 14.57)12.5 (11.45 - 13.4)14 (12.9 - 14.85)<0.0001
Platelets (×103/μL)224 (187 - 267.3)238 (196 - 281)219 (183 - 260)<0.0001
WBC (×103/μL)8.14 (6.73 - 9.94)8.04 (6.58 - 9.91)8.18 (6.79 - 9.95)0,01384
LDH (U/L)204 (164 - 355.81)218 (174 - 379.16)200 (161 - 344.55)<0.0001
PCR (mg/dL)1.69 (0.39 - 8.1)1.72 (0.44 - 6.88)1.68 (0.37 - 8.64)0,95628
Tronopine (ng/L)0.94 (0.05 - 92.9)2 (0.05 - 132.75)0.63 (0.05 - 58.83)0,28548
NTproBNP (pg/ml)963 (212 - 2897)1100 (327 - 3615)876.5 (181.25 - 2574)0,04279
SYNTAX score16 (9 - 25)16 (9 - 25.5)16 (9 - 24.5)0,70737
ACEF score1.35 (1.13 - 1.68)1.38 (1.16 - 1.72)1.33 (1.12 - 1.66)<0.0001
GRACE score86.41 (72.97 - 101.09)90.18 (78.1 - 105.6)84.72 (70.65 - 98.9)<0.0001
DOI: https://doi.org/10.2478/rjc-2025-0020 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English
Page range: 123 - 131
Published on: Jun 30, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Adina-Ioana Rotari, Paul-Adrian Călburean, Petru Mesaroş, Anda-Cristina Scurtu, Ioana Câmpean, Paul Grebenişan, Elena Druică, László Hadadi, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.