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胸主动脉疾病和夹层的性别差异:JACC 每周综述专题。

Sex Differences in Thoracic Aortic Disease and Dissection: JACC Review Topic of the Week.

机构信息

Division of Cardiovascular Sciences, Department of Medicine and Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida, USA.

Division of Cardiology, Department of Medicine, University Illinois at Chicago, Chicago, Illinois, USA.

出版信息

J Am Coll Cardiol. 2023 Aug 29;82(9):817-827. doi: 10.1016/j.jacc.2023.05.067.

Abstract

Despite its higher prevalence among men, women with thoracic aortic aneurysm and dissection (TAAD) have lower rates of treatment and surgical intervention and often have worse outcomes. A growing number of women with TAAD also desire pregnancy, which can be associated with an increased risk of aortic complications. Understanding sex-specific differences in TAAD has the potential to improve care delivery, reduce disparities in treatment, and optimize outcomes for women with TAAD.

摘要

尽管男性中这种疾病更为常见,但患有胸主动脉瘤和夹层(TAAD)的女性接受治疗和手术干预的比例较低,且其结局往往更差。越来越多患有 TAAD 的女性也希望怀孕,这可能会增加主动脉并发症的风险。了解 TAAD 中的性别特异性差异,有可能改善护理服务,减少治疗中的差异,并优化 TAAD 女性的结局。

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