延迟心痛诊断中的性别差异:从2001-2020年NHANES数据的见解
Naydeen Mostafa1, Ahmed Sayed2,3, Marwan Hamed4
1Faculty of Medicine, Ain Shams University, Cairo, Egypt. emp19110@med.asu.edu.eg.
BMC public health
|March 29, 2025
概括
患有冠状动脉疾病 (CAD) 的女性比男性更经常面临延迟诊断,即使症状相似. 这凸显了针对性查和解决基于性别的观念的关键需求,以减少可预防的死亡.
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:
- 患有冠状动脉疾病 (CAD) 的女性比男性更容易经历诊断延迟,通常是由于症状呈现的不同.
- 这项研究调查了在美国与男性类似症状的女性中及时诊断CAD的持续差异.
研究的目的:
- 检查美国及时冠状动脉疾病 (CAD) 诊断的持续差异.
- 为了比较女性和男性之间错过的胸痛诊断的几率,呈现出类似的症状和人口统计特征.
主要方法:
- 利用了2001-2020年国家健康和营养检查调查 (NHANES) 的数据.
- 参与者被归类为患有心痛,但没有先前诊断为"错过心痛".
- 采用加权的多变量逻辑回归来评估性别和错过的胸痛之间的关联,包括死亡后续数据.
主要成果:
- 在874名患有失控性心痛的参与者中,63%是女性.
- 与被诊断的个体相比,患有未经诊断的胸痛的女性更有可能是年轻人,少数民族,没有保险和吸烟者.
- 调整后的分析显示,女性的失忆性 angina 的几率是男性的 2.61 倍,心脏病死亡患者的几率是 3.02 倍.
结论:
- 患有与男性相似的CAD症状的女性仍然有明显更高的未被诊断的几率.
- 这种差异甚至在死于心脏病的个体中仍然存在.
- 解决基于性别的看法和实施针对妇女的查对于减少可预防的CAD死亡率至关重要.
更多相关视频
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
24.2K
05:41Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control
Published on: December 16, 2022
3.2K
相关概念视频
01:16Antianginal Drugs: Nitrates and β-Blockers
428
In cardiovascular health, antianginal drugs combat angina pectoris — a condition marked by chest pain owing to diminished blood flow to the heart.
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow....
Organic nitrates, such as nitroglycerin, play a pivotal role. Once metabolized, they liberate nitric oxide, a molecular marvel. Nitric oxide triggers guanylyl cyclase and augments cGMP production. This biochemical cascade orchestrates the relaxation of vascular smooth muscles, ushering in vasodilation and enhancing coronary blood flow....
428
01:10Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
01:25Antianginal Drugs: Calcium Channel Blockers and Ranolazine
384
Angina pectoris, a primary symptom of ischemic heart disease, requires careful pharmacological interventions. In this context, calcium channel blockers (CCBs) and ranolazine have emerged as crucial pharmacotherapeutic agents, providing deep insights into the complexities of angina management.
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
384
01:27Panic Disorder
15
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
15
01:17Ischemic Heart Disease: Overview
1.1K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.1K