Differences between sexes in STEMI treatment and outcomes with contemporary primary PCI

Background Historically, differences in timely reperfusion and outcomes have been described in females who suffer ST‐segment elevation myocardial infarction (STEMI). However, there have been improvements in the treatment of STEMI patients with contemporary Percutaneous Coronary Intervention (PCI) strategies. Methods Comparisons between sexes were performed on STEMI patients treated with primary PCI over a 4‐year period (January 1, 2017–December 31, 2020) from the Queensland Cardiac Outcomes Registry. Primary outcomes were 30‐day and 1‐year cardiovascular mortality. Secondary outcomes were STEMI performance measures. The total and direct effects of gender on mortality outcomes were estimated using logistic and multinomial logistic regression models. Results Overall, 2747 (76% male) were included. Females were on average older (65.9 vs. 61.9 years; p