在冠状动脉的鉴定后,他类药物使用的差异
Charlotte C Ellberg1, Kavenpreet Bal2, Edward Duran3
1Department of Medicine, University of California San Diego, La Jolla, CA, USA.
American journal of preventive cardiology
|April 28, 2025
概括
冠状动脉 (CAC) 评分可以识别需要他类药物治疗的个体. 然而,基于种族,语言和健康的社会决定因素 (SDOH),他类药物的使用存在差异.
科学领域:
- 心血管疾病的研究研究.
- 健康差异和健康的社会决定因素
- 预防性心脏病学 预防性心脏病学
背景情况:
- 冠状动脉 (CAC) 评分有助于无症状个体的风险分层.
- 临床实践建议对已确定的CAC.患者进行他类药物治疗.
- 健康差异和健康的社会决定因素 (SDOH) 显著影响心血管疾病 (CVD) 的风险和结果.
研究的目的:
- 在CAC识别后调查他类药物使用的潜在差异.
- 分析种族/种族,主要语言和SDOH与他类药物使用的关联.
- 为了评估多民族动脉样硬化研究 (MESA) 队列中的这些差异.
主要方法:
- 用物流回归模型来评估关联.
- 对传统的心血管疾病风险因素进行了调整.
- 在CAC>0和没有基线他类药物使用的个体中,在短期和长期随访中评估了他类药物的使用.
主要成果:
- 在短期随访中,西班牙裔和西班牙语人士的他类药物使用率较低,与具有较高SDOH负担的人一起.
- 黑人,中国人和说中文的人在长期随访时表现出减少了他类药物的使用.
- 长期随访时观察到较低的他类药物使用趋势,较高的SDOH得分.
结论:
- 在CAC识别后,他类药物的使用存在显著差异,受种族/种族,语言和SDOH的影响.
- 虽然CAC对检测动脉样硬化有价值,但推疗法的公平应用至关重要.
- 解决这些差异对于改善不同人群的心血管健康结果至关重要.
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