北非妇女心血管疾病:来自中东非洲妇女心血管疾病(MEA-WCVD)登记的见解

IF 2.8 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Frontiers in Cardiovascular Medicine Pub Date : 2025-09-08 eCollection Date: 2025-01-01 DOI:10.3389/fcvm.2025.1577793
Salma Charfeddine, Leila Abid, Sarra Chenik, Iheb Ben Krayen, Oussama Haddar, Aymen Ghrab, Selim Boudiche, Haithem Touati, Oumaima Ayedi, Mohamed Amine Ammar, Manel Ben Halima, Houssem Ben Ayed, Asma Brahim, Faten ElAyech, Emna Allouche, Houssem Thabet, Houaida Mahfoudhi, Taha Yessine Jabloun, Yasmine Ayadi, Alaeddine Ayadi, Ghassen Romdhani, Hassen Gargouri, Oumayma Zidi, Mohamed Ali Guedri, Rami Tlili, Bechir Trabelsi, Selim Hammami, Rim Othmen, Saoussen Antit, Syrine Saidane, Sirine Dardour, Skander Iddir, Elmahdi Kharrat, Anis Cheikhrouhou, Mohamed Derwich, Amal Mrabet, Taha Lassoued, Emna Rekik, Sahar Gmiha, Niez Laribi, Hakim Lamine, Zied Triki, Samir Ayari, Fatma Boujelbene, Essia Boughzela, Hajer Rekik, Ines Ben Ameur, Syrine Abid, Khalil Oueghlani, Abddayem Haggui, Afef Ben Halima, Wejdene Ouechtati, Emna Bennour, Rania Hammami, Mariem Jabeur, Ihsen Zairi, Mariem Drissa, Faouzi Addad, Sami Milouchi, Mohamed Sami Mourali, Hedi Ben Slima, Leila Bezdah, Elyes Neffati, Youssef Ben Ameur, Sondos Kraiem, Salem Kachboura, Ikram Kammoun, Lilia Zakhama, Hassen Lbn Hadj Amor, Khaldoun Ben Hamda, Yosra Messoudi, Nejah Ben Hlima, Rana Dahmani, Habib Gamra, Zied Ibn Elhadj, Hichem Denguir, Chayma Ghorbel, Nizar Mechri, Samia Ernez Hajri, Alexandre Mebazaa, Fedi Ben Dhaou, Maroua Trigui, Wafa Fehri, Salem Abdessalem
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引用次数: 0

摘要

心血管疾病(CVD)是世界范围内的一个主要健康负担,但来自中东和北非(MENA)地区的按性别分列的数据仍然很少。中东非洲妇女心血管疾病登记处在2023年5月至7月期间招募了突尼斯各地患有冠心病(CHD)、心力衰竭(HF)、心房颤动(AF)或瓣膜性心脏病(VHD)的成年患者。在15366例患者中,37.6%为女性。与男性相比,女性年龄较大,社会经济地位较低,肥胖、高血压、糖尿病、血脂异常和久坐不动的生活方式较多,但吸烟较少。冠心病在女性中较少见,而房颤和VHD更为普遍。女性接受冠状动脉造影和经皮介入治疗的次数较少,延迟时间较长,接受的基于指南的治疗(包括双重抗血小板药物和高强度他汀类药物)较少。在心衰患者中,女性更常保留射血分数和更高的住院率。这些结果突出了突尼斯心血管疾病护理中持续存在的性别不平等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Cardiovascular disease in North African women: insights from the Middle East African Women CardioVascular Disease (MEA-WCVD) registry.

Cardiovascular disease in North African women: insights from the Middle East African Women CardioVascular Disease (MEA-WCVD) registry.

Cardiovascular disease (CVD) is a major health burden worldwide, yet gender-specific data from the Middle East and North Africa (MENA) region remain scarce. The Middle East African Registry of Women with Cardiovascular Disease enrolled adult patients with coronary heart disease (CHD), heart failure (HF), atrial fibrillation (AF), or valvular heart disease (VHD) across Tunisia between May and July 2023. Of 15,366 patients, 37.6% were women. Compared with men, women were older, had lower socioeconomic status, and presented with more obesity, hypertension, diabetes, dyslipidemia, and sedentary lifestyle but smoked less. CHD was less frequent in women, while AF and VHD were more prevalent. Women underwent fewer coronary angiographies and percutaneous interventions, experienced longer delays, and received fewer guideline-based therapies, including dual antiplatelet agents and high-intensity statins. Among HF patients, women more often had preserved ejection fraction and higher hospitalization rates. These results highlight persistent gender inequities in CVD care in Tunisia.

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来源期刊
Frontiers in Cardiovascular Medicine
Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.80
自引率
11.10%
发文量
3529
审稿时长
14 weeks
期刊介绍: Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.
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