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冠状动脉和结构性经皮介入治疗中的性别差异。

Sex-Based Differences in Coronary and Structural Percutaneous Interventions.

作者信息

Mohadjer Ashley, Brown Garrett, Shah Syed R, Nallapati Charishma, Waheed Nida, Bavry Anthony A, Park Ki

机构信息

Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, USA.

Division of Cardiovascular Medicine, University of South Florida, Tampa, FL, USA.

出版信息

Cardiol Ther. 2020 Dec;9(2):257-273. doi: 10.1007/s40119-020-00176-5. Epub 2020 May 21.

DOI:10.1007/s40119-020-00176-5
PMID:32440761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7584690/
Abstract

In the current state of interventional cardiology, the ability to offer advanced therapies to patients who historically were not surgical candidates has grown exponentially in the last few decades. As therapies have expanded in complex coronary and structural interventions, the nuances of treating certain populations have emerged. In particular, the role of sex-based anatomic and outcome differences has been increasingly recognized. As guidelines for cardiovascular prevention and treatment for certain conditions may vary by sex, therapeutic interventions in the structural and percutaneous coronary areas may also vary. In this review, we aim to discuss these differences, the current literature available on these topics, and areas of focus for the future.

摘要

在当前的介入心脏病学领域,在过去几十年里,为那些历来不适合接受手术的患者提供先进治疗的能力呈指数级增长。随着复杂冠状动脉和结构性干预治疗方法的不断扩展,治疗特定人群的细微差别也逐渐显现出来。特别是,基于性别的解剖学和结果差异的作用已得到越来越多的认可。由于某些疾病的心血管预防和治疗指南可能因性别而异,结构性和经皮冠状动脉领域的治疗干预也可能有所不同。在本综述中,我们旨在讨论这些差异、关于这些主题的现有文献以及未来的重点关注领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ce/7584690/305a2b52d636/40119_2020_176_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ce/7584690/305a2b52d636/40119_2020_176_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ce/7584690/305a2b52d636/40119_2020_176_Fig1_HTML.jpg

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Obstetrics and Gynecological History: A Missed Opportunity for Cardiovascular Risk Assessment.妇产科病史:心血管风险评估中被错失的机会。
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经导管主动脉瓣置换术治疗主动脉瓣狭窄患者的辅助抗栓治疗。
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Sex Differences in Transfemoral Transcatheter Aortic Valve Replacement.经股动脉主动脉瓣置换术的性别差异。
J Am Coll Cardiol. 2019 Dec 3;74(22):2758-2767. doi: 10.1016/j.jacc.2019.09.015. Epub 2019 Sep 25.
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Sex-Based Differences in Outcomes After Mitral Valve Surgery for Severe Ischemic Mitral Regurgitation: From the Cardiothoracic Surgical Trials Network.基于性别的严重缺血性二尖瓣反流患者行二尖瓣手术治疗后的结局差异:来自心胸外科手术试验网络。
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