1 Medicine Institute , Cleveland Clinic, Cleveland, Ohio.
2 Rush Heart Center for Women Division of Cardiology, Rush University Medical Center , Chicago, Illinois.
J Womens Health (Larchmt). 2018 Feb;27(2):128-139. doi: 10.1089/jwh.2016.6316. Epub 2017 Jul 17.
Cardiovascular disease (CVD) remains the number one cause of death in women. It is estimated that 44 million women in the United States are either living with or at risk for heart disease. This article highlights the recent significant progress made in improving care, clinical decision-making, and policy implications for women with CVD. We provide our perspective supported by evidence-based advances in cardiovascular research and clinical care guidelines in seven areas: (1) primary CVD prevention and community heart care, (2) secondary prevention of CVD, (3) stroke, (4) heart failure and cardiomyopathies, (5) ischemia with nonobstructive coronary artery disease, (6) spontaneous coronary artery dissection, and (7) arrhythmias and device therapies. Advances in these fields have improved the lives of women living with and at risk for heart disease. With increase awareness, partnership with national organizations, sex-specific research, and changes in policy, the morbidity and mortality of CVD in women can be further reduced.
心血管疾病(CVD)仍然是女性死亡的首要原因。据估计,美国有 4400 万女性患有或有患心脏病的风险。本文重点介绍了在改善心血管疾病女性的护理、临床决策和政策影响方面取得的最新重大进展。我们提供了基于心血管研究和临床护理指南的证据的观点,涵盖了七个领域:(1)CVD 的一级预防和社区心脏护理,(2)CVD 的二级预防,(3)中风,(4)心力衰竭和心肌病,(5)非阻塞性冠状动脉疾病引起的缺血,(6)自发性冠状动脉夹层,以及(7)心律失常和器械治疗。这些领域的进展改善了患有和有患心脏病风险的女性的生活。随着意识的提高、与国家组织的合作、针对女性的具体研究以及政策的变化,女性 CVD 的发病率和死亡率可以进一步降低。