多血管疾病中的性别差异 - 对降脂管理和心血管结果的影响
Aya Katasako-Yabumoto1,2, Yu Kataoka1,2, Eri Kiyoshige3
1Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Osaka Japan.
Circulation reports
|December 11, 2025
概括
没有多血管疾病 (PolyVD) 的女性心血管结果更好. 然而,患有多种疾病的女性与男性有类似的重大心血管不良事件 (MACE),这表明需要在所有多种疾病患者中加强治疗.
科学领域:
- 心血管医学 心血管医学
- 血管生物学 血管生物学
- 疾病中的性别差异.
背景情况:
- 雌激素赋予女性抗动脉样硬化性质,影响心血管疾病的性别差异.
- 多血管疾病 (PolyVD) 与更糟糕的结果有关,但其对女性心血管结果的影响尚不清楚.
研究的目的:
- 研究PolyVD对与男性相比,女性3年重大心血管不良事件 (MACE) 的影响.
- 分析有或没有PolyVD的患者心血管结果的性别特异性差异.
主要方法:
- 对678名接受PCI的冠状动脉疾病患者的分析.
- 定义为同时存在的缺血性中风和/或下肢动脉疾病 (LEAD).
- 男性和女性之间的3年MACE的比较,按PolyVD状态分层,包括调整后的危险比率.
主要成果:
- 没有多发性疾病的女性的3年MACE风险显著降低 (调整HR为0.31).
- 在患有多重疾病的患者中,女性的LDL-C水平较高,但与男性相比,3年MACE风险相似 (调整HR为0.67).
- 妇女占多种疾病患者的17.8%,不含多种疾病患者的21.1%.
结论:
- 没有多重血管疾病的女性表现出更好的心血管结果.
- 患有多种疾病的女性的心血管结果与患有多种疾病的男性相似.
- 强化抗动脉样硬化管理是建议所有的患者与多重性疾病,无论性别.
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