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Proportionally more female than male patients aged 65 years or older had complications; however, proportionally fewer female patients underwent invasive procedures. Female patients had a higher in-hospital mortality rate than males The probability of death within 30 days after admission remained higher for females than males after adjusting for demographic characteristics and severity OR 1. After additionally adjusting for invasive and medical management, the probability of death within 30 days did not differ between males and females OR 1. The higher in-hospital mortality rates after AMI in Korean female patients was associated with a lower procedure rate.

Evidence indicating that AMI symptoms differ according to sex highlights the need for health policies and public education programs that raise awareness of sex-related differences in early AMI symptoms to increase the incidence of appropriate early treatment in females.

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