Sección de Urgencias, Área de Urgencias, Hospital Clínic, Barcelona, España.
Rev Esp Cardiol. 2011 Mar;64(3):233-6. doi: 10.1016/j.recesp.2010.04.002. Epub 2011 Feb 15.
Differences in the treatment of atrial fibrillation between men and women were investigated by using patients in a local health district as a reference population. The study included 688 patients (359 female) who presented with atrial fibrillation. Women were older, more frequently had heart failure, and were more often functionally dependent than men. With regards to the management of atrial fibrillation, women were prescribed digoxin more frequently than men, but underwent electrical cardioversion less often, were less frequently seen by a cardiologist, and understood less about their treatment. After stratifying the findings by age and adjusting for heart failure and the degree of functional dependence, it was observed that women aged over 85 years were prescribed digoxin more often than men, while women aged under 65 years underwent cardioversion less often than men. In conclusion, gender differences observed in the treatment of atrial fibrillation cannot be fully explained by differences in clinical characteristics between men and women in the population.
本研究以当地某一卫生区域的患者作为参照人群，调查了男女之间在心房颤动治疗上的差异。该研究纳入了 688 名心房颤动患者（女性 359 名）。与男性相比，女性年龄更大，心力衰竭更为常见，且功能依赖性更强。在心房颤动的治疗方面，女性比男性更常服用地高辛，但电复律治疗的比例更低，较少接受心脏病专家的诊治，对治疗的了解也更少。将这些发现按年龄分层，并调整心力衰竭和功能依赖性程度后发现，85 岁以上的女性比男性更常服用地高辛，而 65 岁以下的女性比男性更少接受电复律治疗。综上，人群中男女之间的临床特征差异并不能完全解释在心房颤动治疗中观察到的性别差异。
