性别对慢性冠状动脉综合征患者心衰发生率的影响

IF 3.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Heart Failure Reports Pub Date : 2024-08-01 Epub Date: 2024-05-04 DOI:10.1007/s11897-024-00663-z
Ramón López-Palop, Pilar Carrillo, Íñigo Lozano
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引用次数: 0

摘要

综述目的:本综述研究了有关慢性冠状动脉综合征患者心力衰竭发生率的现有证据,重点关注性别差异:慢性冠状动脉综合征心力衰竭的发病率数据相互矛盾。现有资料大多来自对急性冠状动脉综合征后病情稳定的患者进行的研究,结果显示,随访 5 年的发病率范围很广,从不到 3% 到超过 20%。关于心力衰竭发病率的性别差异,目前还没有就女性是否发病率更高达成共识,尤其是在有证据表明存在阻塞性冠状动脉疾病的情况下。然而,在没有阻塞性冠状动脉疾病的情况下,由于微血管疾病和心室功能保留的心力衰竭的发病率较高,女性可能会面临更不利的预后。女性缺血性心脏病的不同特征难以确定与女性性别独立相关的预后差异。有针对性的调查对于确定慢性冠状动脉综合征心力衰竭的发病率和探索潜在的性别特异性关联至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Sex in the Incidence of Heart Failure in Patients with Chronic Coronary Syndrome.

Purpose of review: This review examines the available evidence concerning the incidence of heart failure in patients with chronic coronary syndrome, with a focus on gender differences.

Recent findings: The incidence of heart failure in the context of chronic coronary syndrome presents conflicting data. Most of the available information stems from studies involving stable patients' post-acute coronary syndrome, revealing a wide range of incidence rates, from less than 3% to over 20%, observed over 5 years of follow-up. Regarding the gender differences in heart failure incidence, there is no consensus about whether women exhibit a higher incidence, particularly in the presence of evidence of obstructive coronary artery disease. However, in cases where obstructive coronary artery disease is absent, women may face a more unfavourable prognosis due to a higher prevalence of microvascular disease and heart failure with preserved ventricular function. The different profile of ischaemic heart disease in women difficult to establish differences in prognosis independently associated with female sex. Targeted investigations are essential to discern the incidence of heart failure in chronic coronary syndrome and explore potential gender-specific associations.

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来源期刊
Current Heart Failure Reports
Current Heart Failure Reports Medicine-Emergency Medicine
CiteScore
5.30
自引率
0.00%
发文量
44
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of heart failure. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as investigative, pharmacologic, and nonpharmacologic therapies, pathophysiology, and prevention. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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