University of Florida College of Medicine, Jacksonville, Florida, US.
Mayo Clinic, Rochester, Minnesota, US.
Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):107-119. doi: 10.14797/mdcvj.1328. eCollection 2024.
Cardiovascular disease is the leading cause of death in women. It remains underdiagnosed, undertreated, and portends worse outcomes in women than men. Disparities exist in every stage of science, from bench research to the editorial board of major journals and in every cardiovascular subspecialty. This review summarizes differences in cardiovascular risk factors and disparities in management and outcomes of ischemic heart disease, heart failure, aortic stenosis, and atrial fibrillation. It also provides an overview of female representation as participants and leaders of clinical trials, editorial boards, and academic institutions. Strategies to overcome these disparities are proposed with examples of successful programs.
心血管疾病是女性死亡的主要原因。它仍然被漏诊、治疗不足，并且预示着女性的预后比男性更差。从基础研究到主要期刊的编辑委员会，以及在每个心血管亚专业领域，都存在着差异。这篇综述总结了心血管危险因素的差异，以及在缺血性心脏病、心力衰竭、主动脉瓣狭窄和心房颤动的管理和结局方面的差异。它还概述了女性作为临床试验、编辑委员会和学术机构的参与者和领导者的代表性。并提出了克服这些差异的策略，同时提供了成功计划的例子。
