患有急性心力衰竭的患者的性别相关差异:来自旅程心力衰竭-土耳其人口研究的观察
Filiz Akyıldız Akçay1, Ümit Yaşar Sinan2, Dogaç Çağlar Gürbüz3
1Department of Cardiology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Türkiye.
Anatolian journal of cardiology
|July 19, 2023
概括
在土耳其的急性心力衰竭患者中,女性年龄较大,并患有更多的并发病,而男性则减少了射出分数. 尽管心脏功能更好,但女性在医院死亡率更高.
科学领域:
- 心脏病学 心脏病学
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 之前的研究强调了急性心力衰竭中与性别相关的临床变异.
- 在土耳其,对急性心力衰竭患者的性别差异的研究有限.
- 这项研究通过比较在土耳其因急性心力衰竭住院的男性和女性患者来弥补这一差距.
研究的目的:
- 为了比较因急性心力衰竭住院的男性和女性患者的临床特征.
- 分析男女在医院治疗方法的差异.
- 为了评估男性和女性急性心力衰竭患者在医院治疗结果的变化.
主要方法:
- 这项研究分析了旅程心力衰竭-土耳其人口研究的数据.
- 研究了临床特征,药物处方,医院管理和结果.
- 对男性和女性急性心力衰竭患者之间的差异进行了比较.
主要成果:
- 女性年龄大于男性 (70.48 ± 13.20岁) (65.87 ± 12.82岁).
- 女性出现了更多的并发症 (高血压,糖尿病,心房) 和严重症状 (NYHA III-IV类).
- 男性患者更频繁地减少左心室射出分数;女性的住院死亡率更高 (9.3%对6.4%).
结论:
- 在土耳其,在急性心力衰竭的呈现,治疗和结果方面,性别之间存在显著的多样性.
- 女性患者,尽管左心室缩功能更好,但在医院内死亡率更高.
- 识别和解决这些性别差异对于改善临床实践和急性心力衰竭管理中的患者结果至关重要.
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