与心力衰竭相关的中枢门疾病的差异
Olivia Foley1, Rebecca Hammond1, Kristine Au2
1Creighton University School of Medicine, Omaha, NE 68178, USA.
Reviews in cardiovascular medicine
|July 30, 2024
概括
心力衰竭 (HF) 和额头膜疾病 (MVD) 在性别,种族和社会经济地位上存在差异. 女性和黑人患者面临治疗延迟和利用不足,影响治疗结果.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 心力衰竭 (HF) 是一个全球性的健康问题,通常与关病 (MVD) 相关.
- 多发性疾病既可以是高频率的原因,也可以是高频率的后果,其流行率和病因因因人口统计学而言各不相同.
- 性别,种族,种族和社会经济地位 (SES) 等因素显著影响HF患者的MVD.
研究的目的:
- 检查成年人中MVD和HF之间的复杂关系.
- 在不同的人群中识别与高压相关的MVD的流行病学和治疗差异.
- 突出潜在的解决方案被忽视的不平等在护理.
主要方法:
- 文献综述分析了MVD和HF之间的联系.
- 基于血液动力学亚型的MVD分析:额头回 (MR) 和额头狭窄 (MS).
- 检查性别,种族,种族和SES群体的患病率,治疗和结果的差异.
主要成果:
- 在MVD患病率,治疗和与HF相关的结果中发现了显著的差异.
- 女性和黑人患者的治疗不足和护理延迟的风险更高,往往在晚期出现.
- 男人和白人患者被确定为治疗不足和不良结果风险较低的组.
- 低SES与风湿性心脏病和HF风险增加有关,导致二次MR的发生.
结论:
- 目前对与HF相关的MVD的护理表现出重大不平等.
- 解决MVD治疗指南和健康的社会决定因素对于最大限度地减少差异至关重要.
- 需要进一步的研究和资金来提高认识,并改善所有患者群体的治疗结果.
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