Sex-specific differences in the prognostic value of ischemic pre-hospital ECGs - Takeaways - MDSpire

Sex-specific differences in the prognostic value of ischemic pre-hospital ECGs

  • By

  • L. E. Sams

  • L. Bachinger

  • M. Maul

  • L. E. Villegas Sierra

  • M. Woerndl

  • J. Tauber

  • K. Mourouzis

  • F. Korovesis

  • M. Klemm

  • L. Freyer

  • S. Massberg

  • K. D. Rizas

  • June 10, 2026

  • 0 min

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  • 1

    Women with suspected myocardial infarction (MI) face challenges in diagnosis and treatment compared to men, often presenting atypically.

  • 2

    Ischemic ECGs were more frequently observed in men, with 63% presenting compared to 52% of women, indicating a gender disparity.

  • 3

    In female patients, ischemic ECGs significantly predicted the need for target lesion revascularization (TLR) with an odds ratio of 1.86.

  • 4

    The study found a significant association between ischemic ECG changes and both intrahospital and 5-year mortality in both sexes.

  • 5

    Overall, ischemic prehospital ECGs are crucial for identifying high-risk female patients requiring TLR and assessing mortality risk.

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