促进女性心血管疾病患者获得心血管疾病诊断和治疗:英国心血管协会联合共识文件。

IF 5.1 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Heart Pub Date : 2024-10-28 DOI:10.1136/heartjnl-2024-324625
Upasana Tayal, Graziella Pompei, Ian Wilkinson, Dawn Adamson, Aish Sinha, David Hildick-Smith, Richard Cubbon, Madalina Garbi, Thomas E Ingram, Claire L Colebourn, C Fielder Camm, Tomasz J Guzik, Lisa Anderson, Stephen P Page, Eleanor Wicks, Petra Jenkins, Stuart D Rosen, Stavros Eftychiou, Eleri Roberts, Helen Eftekhari, Heather Probert, Aynsley Cowie, Raj Thakkar, Jim Moore, Colin Berry, Gaby Captur, Aparna Deshpande, Sarah Brown, Roland Malkin, Mary Harrison, Claire Lawson, G Andre Ng, Vijay Kunadian
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引用次数: 0

摘要

尽管心血管药物治疗和干预策略取得了重大进展,但心血管疾病(CVD),尤其是缺血性心脏病,仍然是英国乃至全球女性发病和死亡的主要原因。在针对心血管疾病管理策略的临床试验中,女性的诊断率低、治疗率低、代表性低,因此试验结果对这一群体的适用性较差。女性还有一些性别特有的风险因素,使她们未来发生心血管事件的风险更高。社会心理风险因素、社会经济贫困和环境因素对女性心血管健康的影响更大,因此需要采取整体护理方法,在考虑传统风险因素的同时,考虑与女性生物学相关的风险因素。重要的是,在英国,即使是在国民健康服务的背景下,心血管疾病患者的年龄标准化死亡率也存在显著的地区差异。鉴于大多数心血管疾病都是可以预防的,因此有必要齐心协力解决尚未满足的需求,并确保为女性心血管疾病患者提供平等的医疗服务。本共识文件由英国心血管学会(BCS)的附属学会编写,具体描述了心血管疾病各主要领域的诊断和治疗中与性别有关的差异现状,并提出了克服女性在获得诊断和治疗方面的障碍的策略。该文件旨在提高人们对当前问题规模的认识,并希望通过 BCS 内部不同附属学会之间的合作,激励人们采用多方面的方法来解决性别差异问题,并促成未来基于性和性别的全面研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancing the access to cardiovascular diagnosis and treatment among women with cardiovascular disease: a joint British Cardiovascular Societies' consensus document.

Despite significant progress in cardiovascular pharmacotherapy and interventional strategies, cardiovascular disease (CVD), in particular ischaemic heart disease, remains the leading cause of morbidity and mortality among women in the UK and worldwide. Women are underdiagnosed, undertreated and under-represented in clinical trials directed at management strategies for CVD, making their results less applicable to this subset. Women have additional sex-specific risk factors that put them at higher risk of future cardiovascular events. Psychosocial risk factors, socioeconomic deprivation and environmental factors have an augmented impact on women's cardiovascular health, highlighting the need for a holistic approach to care that considers risk factors specifically related to female biology alongside the traditional risk factors. Importantly, in the UK, even in the context of a National Health Service, there exist significant regional variations in age-standardised mortality rates among patients with CVD. Given most CVDs are preventable, concerted efforts are necessary to address the unmet needs and ensure parity of care for women with CVD. The present consensus document, put together by the British Cardiovascular Society (BCS)'s affiliated societies, specifically portrays the current status on the sex-related differences in the diagnosis and treatment of each of the major CVD areas and proposes strategies to overcome the barriers in accessing diagnoses and treatments among women. This document aims at raising awareness of the scale of the current problem and hopes to stimulate a multifaceted approach to address sex disparities and enable future comprehensive sex- and gender-based research through collaboration across different affiliated societies within the BCS.

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来源期刊
Heart
Heart 医学-心血管系统
CiteScore
10.30
自引率
5.30%
发文量
320
审稿时长
3-6 weeks
期刊介绍: Heart is an international peer reviewed journal that keeps cardiologists up to date with important research advances in cardiovascular disease. New scientific developments are highlighted in editorials and put in context with concise review articles. There is one free Editor’s Choice article in each issue, with open access options available to authors for all articles. Education in Heart articles provide a comprehensive, continuously updated, cardiology curriculum.
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