基于性别的临床,治疗策略和预后差异在心房动
Aurelio Quesada1,2, Javier Quesada-Ocete1,2, Blanca Quesada-Ocete1,2
1Arrhythmia Unit, Cardiology Service, General University Hospital Consortium of Valencia, 46014 Valencia, Spain.
Journal of cardiovascular development and disease
|October 27, 2023
概括
在心房 (AF) 护理中存在性别差异,女性接受心脏评估和心脏转变较少,尽管死亡率相似,但心力衰竭住院患者更多.
科学领域:
- 心脏病学 心脏病学
- 临床医学 临床医学
- 健康 公平 卫生 公平
背景情况:
- 关于心房动 (AF) 治疗和预后的性别差异的数据有限.
- 调查急诊室 (ED) 护理中的与性别有关的差异以及AF患者的长期结果至关重要.
研究的目的:
- 为了检查在急诊室 (ED) 访问心房动 (AF) 期间医疗护理的性别差异.
- 确定AF患者临床特征,治疗策略和长期不良事件的性别相关变异.
主要方法:
- 对2013年患者进行的回顾性观察性研究,这些患者在2010-2015年与AF一起出现在第三级医院ED.
- 收集的医疗护理,死亡率和不良结果的至少一年的随访 (FU) 数据.
主要成果:
- 妇女 (60%) 在ED接受心脏病专家评估的可能性低于男性 (11.5%vs16.6%),入院的可能性也低于男性.
- 男性接受了更多的电动心脏转换,尽管女性的AF复发率较低 (9.9%vs18.1%).
- 在FU期间,女性心力衰竭住院率较高 (26.2%对16.1%).
结论:
- 在AF临床结果,医疗照顾和治疗策略中观察到显著的性别差异.
- 女性接受的心脏转换尝试较少,心脏病学家评估较少,但心力衰竭住院率较高.
- 解决这些不平等问题对于改善对所有AF患者的护理至关重要.
相关概念视频
Dysrhythmias VI: Management of Dysrhythmias
17
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
17
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
22
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
22
Mitral Stenosis III: Medical Management
12
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
12
Treatment Strategies for Psychological Disorders
145
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
145
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
Aortic Regurgitation III: Medical Management
24
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
24


