053 Differences between algerian woman and man presenting with acute coronary syndrome across the continuum of epidemiologic transition

Abstract

Women until menopause remains protected from coronary artery disease, and its epidemiology is different from that in men. The aim of this work is to assess the prevalence, clinical and biological features of acute coronary syndrome of Algerian women compared to men. This is a retrospective study, descriptive, conducted in our cardiology department near the patients hospitalized in intensive care unit cardiac, from 1/12 2006 to 30/ 04/2008 for ACS. A total of 413 patients is included, with 276 men (66.83%) and 137 women (33.17%) aged 20 to 101 years with an average age of 60.80 years. In univariate analysis: the Algerian woman is older, occurring mainly in an array of SCA (ST-), is more often diabetic, hypertensive, overweight (waist circumference and BMI). There is also a disturbance renal function more marked, blood glucose and lipid more troubled. The Algerian man has a far more important smoking and ventricular systolic dysfunction more severe. In multivariate analysis: the only parameters that appear significant in women are: ACS (ST-) (or:0.3.046ci:1.78-5.20 p:0.000), smoking (or:13.182 ci:5.982-29.052 p:0.000)and diabetes google(or:0.543 ci:0.319-0.923 p:0.024). Algerian women has different clinical and biological characteristics in relation to the algerian man who require levels of care different.variableaveragesP-valuevariableaveragesP-VALUEvariableORCI 95%P-valueage59,750,0029glycemia1,370,0001diabetes0,340,21-0,530,000163,631,64weight73,440,0001hdl0,460,0137hta0,540,32-0,780,001567,860,54waist97,600,013ldl1,130,0001tobacco17,347,80-40,120,0001101,161,17bmi25,350,0001tg1,38NSACS st(-)3,542,25-1,370,000127,611,36clear cre59,110,0035fe53,30,0001Coronaropathie family0,640,30-1,37NS51,8857,39