与黑人男性相比,黑人女性的冠状动脉疾病的生存率与黑人男性相比
Y Liao1, R S Cooper, J K Ghali
1Department of Preventive Medicine and Epidemiology, Loyola University Medical Center, Maywood, IL 60153.
JAMA
|October 14, 1992
概括
患有冠心病的黑人女性的存活率与黑人男性相似. 然而,与没有这种疾病的男性相比,女性面临的预后更差.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 冠状动脉心脏病 (CHD) 影响着各种人群,结果可能有差异.
- 了解患有心血管疾病的黑人患者的性别特异性预后对于有针对性的干预至关重要.
研究的目的:
- 调查性别对冠心病 (CHD) 预后的影响,特别是在黑人患者群体中.
主要方法:
- 进行了一项队列研究,使用来自伊利诺伊州芝加哥的一家医院注册表的连续样本.
- 包括1719名黑人患者 (780名男性,939名女性) 接受心脏导管治疗,急性心肌梗塞住院治疗或冠状动脉旁路移植.
- 随访时间平均为4年,对各种风险因素进行了调整分析.
主要成果:
- 在男性和女性之间,急性心肌梗塞和冠状动脉旁路移植的整体死亡率相似.
- 对心脏死亡的相对风险在调整后,对于心脏病,心肌梗塞或旁路移植,女性和男性之间没有显著差异.
- 然而,与没有心脏病的同性别人相比,女性对不良结果的相对风险估计明显高于男性.
结论:
- 患有冠心病的黑人女性的预后与黑人男性的预后相似.
- 与男性相比,患有心血管疾病的黑人女性的预后相对于没有这种疾病的同性恋者来说要差得多.
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