Monitoring Blood Pressure and Heartbeat Remotely Using Body Area Networks

Abstract

Background: In the literatures, there is still argument regarding whether female gender is correlated with worse outcome following percutaneous coronaryintervention (PCI). In recent years, using of PCI has steadily increased in Yemen. However, the impact of gender on the clinical outcome following PCIwith 2nd generation drug-eluting stents is still unknown in Yemeni patients.

Aims: To compare in-hospital outcome according to gender in Yemeni patients with coronary artery disease who underwent elective PCI at Militaryhospital, Sana’a City, Yemen.

Methods and results: We analyzed data from 316 consecutive patients who underwent elective PCI procedures from January 2021 to December 2021 at
the Military hospital in Sana’a City, Yemen. Data were collected retrospectively through medical records, and computerized database of the hospital. An overall of 145 (45.9%) were women. Men were nearly 3 years younger than women (56.7±11 vs. 60 ±9.3 years respectively; p-value, 0.005). The prevalenceof smoking and previous IHD was more common in men than women (p-value, < 0.005) and in men more stents were implanted. By contrast, womenwere more frequently had obesity, dyslipidemia, diabetes mellitus, and hypertension (p-value, < 0.005). Likewise, incidence of coronary artery dissection,bleeding, and renal insufficiency following PCI was more common in women than men (p-value, < 0.005). Using multivariate logistic regression analysis,we found that female gender (adjusted odd ratio (AOR), 2.26; 95% confidence interval (CI), 1.05-5.43; p-value, 0.032) and dyslipidemia (AOR, 2.22; 95%CI, 1.05-4.66; p-value = 0.036) were independent predictors of in-hospital bleeding.

Conclusion: Our study sheds additional light on the gender advantage enjoyed by males in PCI compared to females. Women were more likely to moreexperience in-hospital bleeding, coronary artery dissection and renal insufficiency complications following PCI. Female gender and dyslipidemia wereindependent predictors of in-hospital bleeding. It is important to evaluate each patient's individual risk factors for bleeding before undergoing PCI, includingdyslipidemia, and to take appropriate measures to minimize bleeding complications, especially in women.