ST-elevation myocardial infarction in a real world population - An observational retrospective study with a sex perspective.

•The long-term, all-cause unadjusted mortality in STEMI patients was higher in women.•After adjustment for confounders, women had a better long-term prognosis.•Female sex predicted lower long-term mortality.•Risk factors, heart failure, age, and comorbidities rather than sex affect the worse outcome.