通过导管关闭心室隔膜缺陷的患者的性别特异性结果:他们是否同样受益?
Lore Schrutka1,2, Lusine Abrahamyan3,4, Varnita Vishwanath5
1Toronto Congenital Cardiac Centre for Adults, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.
概括
心房隔膜缺陷 (ASD) 关闭的性别差异会影响患者的个人资料,但不会影响结果. 男人和女人都同样受益于跨导管ASD关闭,程序和长期结果相似.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 众所周知,性别差异会影响先天性心脏病的结果.
- 关于心房隔膜缺陷 (ASD) 关闭结果中性别的作用的数据有限.
研究的目的:
- 为了研究基线特征的性别差异.
- 为了评估在过导管ASD关闭后的程序和长期结果中的性别差异.
主要方法:
- 对接受过导管ASD关闭 (2005-2016) 的成年患者进行了回顾性队列研究.
- 从多伦多总医院的医疗记录中提取的数据.
- 分析基线特征,程序数据和长期后续情况.
主要成果:
- 分析了853名患者 (32.9%的男性,67.1%的女性).
- 女性更容易出现呼吸障碍/心;男性有更多的并发症和VR功能障碍.
- 性别之间可比的程序成功,12个月和3年随访结果 (死亡,中风,AFib),女性显示较低的新发性AFib风险.
结论:
- 通过导管关闭ASD的患者个人资料因性别而异.
- 在男性和女性之间,程序和长期结果是可比的.
- 两性似乎均受益于跨导管ASD关闭.
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