Our analysis of sex differences in the #YOUNG-MI registry is now published in #EHJ @ESC_Journals. See tweetorial below. A culmination of hard work with an incredible team of mentors @RonBlankstein @DLBHATTMD @DrMarthaGulati @SanjayDivakaran @drmalissawood
Of 2097 with first MI at young age, 19% were 🚺

🚺 were more likely to have diabetes, rheumatologic conditions and depression
🚺 had lower median incomes and higher rate of public insurance

Chest pain was the most common symptom in 🚺 and 🚹 with more atypical symptoms in 🚺
🚺 were less likely to receive coronary angiography

Among those w/angiography, 🚺had ⬆️ SCAD, were more likely to have single vessel disease with lower aggregate plaque burden and ⬇️ revascularization

🚺 less likely to be discharged on ASA, beta blockers, ACE/ARB, and statins
Among those who survived to hospital discharge, women had higher all-cause mortality over 11 year follow up period although no difference in CV mortality
Accompanying editorial by Dr. Tweet:

“This study ...demonstrates the continued need—and obligation—to study and improve the incidence and mortality trajectory of cardiovascular disease in the young, especially women.”

#moreworktodo

academic.oup.com/eurheartj/adva…

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