分数流量储备利用的性别差异
Marta Bujak1, Krzysztof Malinowski2,3, Zbigniew Siudak4
1Division of Cardiology and Structural Heart Diseases, Medical University of Silesia, 40-055 Katowice, Poland.
Journal of clinical medicine
|July 27, 2024
概括
尽管女性越来越多地使用分量流量储备 (FFR),但女性接受分量流量储备 (FFR) 引导程序的可能性较低. 女性性别是FFR在心血管干预中利用的独立负面预测因素.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心血管疾病诊断和结果的性别相关差异得到了充分证实.
- 诊断不足和诊断延迟在女性患者中更为普遍.
- 认识到性别差异对于改善心血管保健和结果至关重要.
研究的目的:
- 调查使用分流储备 (FFR) 指导程序的基于性别的差异.
- 分析在接受血管造影和/或皮肤冠状动脉干预 (PCI) 的患者中使用FFR.
主要方法:
- 从国家注册表 (2014-2022) 中回顾分析了超过140万个血管造影和/或PCI手术.
- 后勤回归分析以确定女性性别与FFR利用之间的关联.
- 在不同临床表现的男性和女性之间的FFR率的比较.
主要成果:
- 总体而言,与男性相比,女性 (3.45%) 的FFR利用率较低 (4.15%).
- 虽然FFR在急性冠状动脉综合征的女性中更为频繁,但与男性相比,慢性冠状动脉综合征患者的发病率较低.
- 接受FFR指导手术的女性年龄较大,但与男性相比,心肌梗塞,CABG或之前的PCI病史的可能性较小.
结论:
- 尽管FFR的采用增加了,但女性的使用率仍然低于男性.
- 女性性别是FFR利用的独立负面预测因素.
- 解决FFR使用中的性别差异对于公平的心血管护理至关重要.
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