边缘动脉疾病中的性别和种族差异
Sanjay Divakaran1, Anna K Krawisz2, Eric A Secemsky2
1Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (S.D., S.K.).
Arteriosclerosis, thrombosis, and vascular biology
|September 14, 2023
概括
女性和少数群体患者面临较高的风险下肢外周动脉疾病 (PAD) 和更糟糕的结果. 解决不足诊断和改善护理对于更好的外周动脉疾病 (PAD) 管理至关重要.
科学领域:
- 血管医学 血管医学
- 健康差异 在健康上的差异
- 流行病学 流行病学
背景情况:
- 周围动脉疾病 (PAD) 不成比例地影响女性和种族/少数民族.
- 现有的研究表明,在这些人群中,发展PAD和经历不良结果的风险增加.
- 有关导致这些差异的具体因素存在重大知识差距.
研究的目的:
- 调查女性和少数群体患者周围动脉疾病 (PAD) 风险增加和不良结果的潜在原因.
- 确定改善贫困人口中PAD诊断和管理的关键领域.
- 突出减少外围动脉疾病 (PAD) 护理中的健康差异的机会.
主要方法:
- 现有流行病学数据和临床研究对外围动脉疾病 (PAD) 患病率和结果的审查.
- 对妇女和种族/少数民族人口的诊断和治疗差异的分析.
- 识别这些群体面临的共同共同疾病和管理挑战.
主要成果:
- 女性和少数群体患者更容易被诊断为周围动脉疾病 (PAD).
- 这些人群往往表现出对有助于共患病的管理较差.
- 在治疗和诊断后管理方面存在差异.
结论:
- 需要提高查率,以便在风险群体中早期检测周围动脉疾病 (PAD).
- 增加临床怀疑,特别是当典型的间歇性音症状不存在时,至关重要.
- 在诊断前和诊断后更积极的风险因素管理可以改善女性和少数群体的外周动脉疾病 (PAD) 结果.
相关概念视频
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