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Published on: August 16, 2021
SCAI/EAPCI/ACVC Expert Consensus Statement on Cardiogenic Shock in Women: This statement was endorsed by the Heart
Suzanne J Baron1, Josephine C Chou2, Tayyab Shah3,4
1Massachusetts General Hospital, Boston, Massachusetts.
Insights
Cardiovascular disease is a leading cause of death in women. Addressing sex-based disparities in cardiogenic shock (CS) treatment is crucial for improving outcomes and advancing women's cardiovascular health.
Area of Science:
- Cardiology
- Women's Health
- Medical Consensus
Background:
- Cardiovascular disease (CVD) is the primary cause of mortality for women globally.
- Cardiogenic shock (CS) in women has alarmingly high mortality rates.
- Existing sex-based disparities in CS treatment delivery negatively impact outcomes for women.
Purpose of the Study:
- To provide a comprehensive summary of current cardiogenic shock (CS) treatment in women.
- To identify critical evidence gaps in the diagnosis and treatment of CS in women.
- To guide clinical practice by addressing sex-based disparities in cardiovascular care.
Main Methods:
- Consensus statement development.
- Literature review focusing on sex-based data in CS treatment.
- Synthesis of current evidence and identification of knowledge gaps.
Main Results:
- Current literature has limited sex-specific data on cardiogenic shock (CS).
- Significant disparities exist in the timely administration of optimal CS treatments for women.
- Evidence gaps hinder the development of tailored best practices for women with CS.
Conclusions:
- Improving women's cardiovascular health requires addressing sex-based disparities in CS care.
- Clinicians can use this consensus statement as a resource for managing CS in women.
- Further research is essential to establish evidence-based guidelines for diagnosing and treating CS in women.
Abstract:
Cardiovascular disease is the leading cause of death for women worldwide, with mortality rates due to cardiogenic shock (CS) remaining exceedingly high. Sex-based disparities in the timely delivery of optimal CS treatment contribute to poor outcomes; addressing these disparities is a major priority to improve women's cardiovascular health. This consensus statement provides a comprehensive summary of the current state of treatment of CS in women across the spectrum of cardiovascular disease states and identifies important gaps in evidence. As sex-based data are limited in contemporary literature, clinicians may use this document as a resource to guide practice. Further investigations are necessary to inform best practices for the diagnosis and treatment of women with CS.
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