BACKGROUND: The early mortality of @entity583 ( @entity583 ) has dramatically decreased in the recent past. Whether the previously reported sex disparities in use of @entity3 ( @entity3 ) persist and translate into differences in outcomes deserves to be examined. METHODS: We used the data from a nationwide French prospective multicentre registry from 3,670 @entity583 @entity1 (1155 @entity1 (31.5%), 2515 @entity1 (68.5%)) recruited in 223 centres in 2005 and followed-up for 5years. We examined in-hospital outcomes and 5-year mortality in @entity1 categorized according to sex and use of @entity3 (i.e. coronary angiography during the hospitalisation with a view to revascularisation). RESULTS: @entity3 was less frequently used in @entity1 than in @entity1 (adjusted OR=0.66; 95% CI: 0.52-0.85), regardless of the type of @entity583 , age group or risk category, while use of recommended medications was similar at 48hours and discharge. In-hospital mortality did not differ according to sex, whatever the age group and use of an @entity3 . At 5years, overall and post-discharge mortality were similar in @entity1 and @entity1 . However, @entity3 was associated with lower 5-year mortality in @entity1 (HR=0.66; 95% CI: 0.51-0.86) as in @entity1 (HR=0.48; 95% CI: 0.38-0.60) and there was no sex-strategy interaction. CONCLUSIONS: Invasive strategy remains less frequently used in @entity1 than in @entity1 , yet is associated with improved five-year survival irrespective of sex. Whether reducing the sex gap in its use would translate into a higher survival in @entity1 remains an open question. CLINICAL TRIAL REGISTRATION: NCT 00673036.

In-hospital outcomes and long-term mortality according to sex and management strategy in @entity583 . Insights from the French ST-elevation and non-ST-elevation XXXX (FAST-MI) 2005 Registry.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity583 :: ('MESH:D009203', 'Disease') :: ['AMI', 'acute myocardial infarction'] @entity3 :: ('MESH:D009362', 'Disease') :: ['IS', 'invasive strategies']
@entity583 :: (MESH:D009203,Disease) :: ['Myocardial Infarction']
