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女性胸痛：心脏病表现与诊断中基于性别和性别的差异

Chest Pain in Women: Gender- and Sex-based Differences in the Presentation and Diagnosis of Heart Disease.

作者信息

Sawan Mariem A, Steinberg Rebecca S, Sayegh Michael N, Devlin Christian, Behbahani-Nejad Omid, Wenger Nanette K

机构信息

Department of Medicine, Division of Cardiology, Emory University School of Medicine Atlanta, GA.

Department of Internal Medicine, Emory University School of Medicine Atlanta, GA.

出版信息

US Cardiol. 2023 Nov 28;17:e19. doi: 10.15420/usc.2022.30. eCollection 2023.

DOI:10.15420/usc.2022.30
PMID:39559518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11571392/
Abstract

Ischemic heart disease is a major cause of morbidity and mortality in the US, affecting both men and women significantly. The presentation of chest pain is largely similar in female and male patients, but additional non-chest pain symptoms can confound timely diagnosis in women. Management, diagnostic evaluation, and clinical outcomes for patients admitted with chest pain differ significantly between men and women, and understanding of these discrepancies is limited. The objective of this review is to familiarize readers with gender- and sex-specific differences in the presentation, diagnosis, and management of chest pain.

摘要

缺血性心脏病是美国发病和死亡的主要原因，对男性和女性均有显著影响。男性和女性患者胸痛的表现大致相似，但其他非胸痛症状可能会干扰对女性的及时诊断。因胸痛入院的患者，其治疗、诊断评估和临床结果在男性和女性之间存在显著差异，而对这些差异的了解有限。本综述的目的是让读者熟悉胸痛在表现、诊断和治疗方面的性别差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11e0/11571392/8d3e54f47792/usc-17-e19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11e0/11571392/8d3e54f47792/usc-17-e19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11e0/11571392/8d3e54f47792/usc-17-e19-g001.jpg

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MINOCA: One Size Fits All? Probably Not-A Review of Etiology, Investigation, and Treatment.心肌梗死伴非阻塞性冠状动脉病变：一种通用的治疗方法？可能并非如此——病因、检查及治疗综述
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