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性别对 ST 段抬高型心肌梗死患者行直接经皮冠状动脉介入治疗的门球时间的影响:系统评价。

The Effect of Sex on Door-to-Balloon Time in Patients Presenting With ST-Elevation Myocardial Infarction and Referred for Primary Percutaneous Coronary Intervention: A Systematic Review.

机构信息

Division of Cardiology, Queen's University/Kingston Health Sciences Centre - Kingston General Hospital Site, 76 Stuart Street, Kingston, Ontario K7L 2V7, Canada.

College of Medicine and Dentistry, James Cook University, Townsville, Queensland 4811, Australia.

出版信息

Cardiovasc Revasc Med. 2022 Apr;37:120-127. doi: 10.1016/j.carrev.2021.07.011. Epub 2021 Jul 13.

DOI:10.1016/j.carrev.2021.07.011
PMID:34334335
Abstract

Timely reperfusion using primary percutaneous coronary intervention (pPCI) is the cornerstone of acute ST-elevation myocardial infarction (STEMI) management. We conducted a systematic review to examine the effect of sex on door-to-balloon (D2B) time and symptom-to-balloon (S2B) time. We observed longer D2B times and S2B times in female patients presenting with STEMI and referred for pPCI when compared to male patients. Future work is required to try and elucidate and mitigate sex-based front-line treatment delays for female STEMI patients.

摘要

及时进行经皮冠状动脉介入治疗(pPCI)是急性 ST 段抬高型心肌梗死(STEMI)治疗的基石。我们进行了一项系统评价,以研究性别对门球时间(D2B)和症状球时间(S2B)的影响。与男性患者相比,女性 STEMI 患者接受 pPCI 时,D2B 时间和 S2B 时间更长。需要进一步研究以阐明和减轻女性 STEMI 患者一线治疗的基于性别的延迟。

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