妇女心血管疾病的多学科管理:德尔菲共识
José M Gámez1,2, Milagros Pedreira Pérez3, María Rosa Fernández Olmo4
1Servicio de Cardiología, Hospital Universitario Son Llatzer, Departamento de Medicina, Universidad de las Islas Baleares, Palma de Mallorca, Spain.
专家一致认为,需要针对女性进行量身定制的心血管疾病 (CVD) 管理,解决风险因素,诊断和治疗差异. 需要进一步的研究和培训,以减少女性心脏健康方面的不平等.
科学领域:
- 心脏病学 心脏病学
- 妇女健康 妇女健康
- 公共卫生 公共卫生
背景情况:
- 目前的心血管疾病 (CVD) 临床指南缺乏针对女性人口的具体建议.
- 需要专家的共识来解决女性心血管疾病的管理问题.
研究的目的:
- 确定有关女性心血管疾病 (CVD) 管理的专家意见.
- 确定关于女性心血管疾病的共识和分歧的领域.
主要方法:
- 在31名心脏病专家,9名妇科医生/产科医生和14名初级保健医生中采用了德尔菲共识方法.
- 专家评估了44个与女性心血管疾病相关的项目,分为风险因素/预防,诊断/表现,治疗/随访.
主要成果:
- 在44个项目中有27个项目 (61.4%) 达成了共识.
- 关键协议包括在怀孕期间监测高血压疾病的血压和控制妊娠期糖尿病.
- 专家小组成员一致认为,女性的他类药物强度低于男性,但对药物疗效差异缺乏共识.
结论:
- 高度的共识表明,人们意识到心血管疾病管理中的基于性别的差异,以及需要进行干预.
- 低的共识,特别是在治疗和随访方面,突出了知识差距和进一步教育和培训的需要.
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