美国原住民中的皮肤冠状动脉干预:审查心血管保健中的公平性
Malik Alqawasmi1, Tassy Parker2, Allyson Kelley3
1Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico.
The American journal of cardiology
|August 4, 2025
概括
美国原住民在心血管保健方面存在差异,尽管在医院死亡率相似,但心脏病发作的干预时间延迟. 系统性障碍阻碍了及时穿皮冠状动脉干预 (PCI) 的获取和结果.
科学领域:
- 心血管医学 心血管医学
- 健康差异 在健康上的差异
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国原住民面临着显著的心血管健康差异,特别是通过皮肤冠状动脉干预 (PCI) 获得和接收结果.
- 虽然急性冠状动脉综合征 (ACS) 的住院死亡率与白人相似,但美洲原住民晚些时候出现,并且接受的及时干预措施比较少,如血管造影和再血管化.
- 普遍存在的并发性疾病 (糖尿病,高血压,肥胖) 和系统性障碍 (地理隔离,有限的设施,资金不足的系统) 加剧了这些差异.
研究的目的:
- 评估皮肤穿冠状动脉干预 (PCI) 结果,并确定美洲原住民群体之间的获得和护理差异.
- 强调有针对性的干预措施的需要,以减少心血管疾病的负担在这个人口.
- 综合现有的关于美国原住民PCI利用和结果的数据,并将其与其他种族/族群进行比较.
主要方法:
- 本综述综合了关于穿皮冠状动脉干预 (PCI) 使用率和结果的现有数据.
- 专注于影响美洲原住民人口的独特风险概况和系统障碍.
- 包括与其他种族和族群进行比较分析,以将差异置于背景.
主要成果:
- 美国土著人经历了急性冠状动脉综合征 (ACS) 的延迟表现和较低的及时干预率 (血管造影,再血管化).
- 地理隔离,有限的PCI能力设施和资金不足的医疗保健系统是重大障碍.
- 糖尿病,高血压和肥胖等并发性疾病的不成比例的高患病率会对结果产生负面影响.
结论:
- 提出了基于证据的建议,以解决美国原住民心血管护理方面的医疗保健不平等问题.
- 有针对性的干预措施对于改善穿皮冠状动脉干预 (PCI) 的获取和结果至关重要.
- 减少PCI的差异可以显著降低心脏病发作发生率,并改善美洲原住民群体的心血管健康.
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