Department of Cardiology and Cardiovascular Surgery, Hamad Medical Corporation, Doha, Qatar.
Am J Cardiol. 2012 Feb 1;109(3):395-400. doi: 10.1016/j.amjcard.2011.09.026. Epub 2011 Nov 16.
The aim of the present study was to compare the clinical characteristics, treatment, and outcomes of women and men hospitalized with heart failure (HF) in a Middle-Eastern country. A retrospective analysis of all patients hospitalized with HF in the State of Qatar from 1991 through 2010 was made. The clinical characteristics, management, and outcomes of the patients with HF were compared according to gender. A subset analysis according to ethnicity was also done (Middle Eastern Arabs vs South Asians). During the 20-year period, 2,379 women and 4,689 men were hospitalized for HF. The women were older and more likely to have diabetes mellitus, hypertension, and chronic renal impairment compared to the male patients. The women were less likely to be current smokers and to have ischemic heart disease compared to the men. Impaired left ventricular function was more common among men. The in-hospital mortality rates were comparable between the 2 groups (7.7% in women vs 8.2% in men; p = 0.4) and significantly improved with time in the 2 groups (p = 0.001). The mortality rates were comparable among the women, regardless of the ethnicity. In conclusion, overall improvement occurred in survival in patients hospitalized with HF in a Middle-Eastern country, regardless of gender. Women hospitalized with HF had mortality rates comparable to those of men.
本研究旨在比较中东国家女性和男性心力衰竭（HF）住院患者的临床特征、治疗和结局。对 1991 年至 2010 年期间在卡塔尔国住院的所有 HF 患者进行了回顾性分析。根据性别比较 HF 患者的临床特征、治疗和结局。还根据种族进行了亚组分析（中东阿拉伯人与南亚人）。在 20 年期间，有 2379 名女性和 4689 名男性因 HF 住院。与男性患者相比，女性年龄更大，更有可能患有糖尿病、高血压和慢性肾功能不全。与男性相比，女性吸烟和患有缺血性心脏病的可能性较小。左心室功能障碍在男性中更为常见。两组患者的住院死亡率相当（女性为 7.7%，男性为 8.2%；p=0.4），且两组患者的死亡率均随时间显著改善（p=0.001）。女性患者之间的死亡率相当，无论种族如何。总之，在中东国家住院治疗 HF 的患者的生存率得到了整体改善，无论性别如何。因 HF 住院的女性死亡率与男性相当。
