Managing Ischemic Heart Disease in Women: Role of a Women's Heart Center.

Managing Ischemic Heart Disease in Women: Role of a Women's Heart Center.
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DOI:
10.1007/s11883-021-00956-x
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发表时间:
2021-08-04
影响因子:
5.8
通讯作者:
Volgman AS
Volgman AS
中科院分区:
医学2区
文献类型:
--
作者:
Khandelwal A;Bakir M;Bezaire M;Costello B;Gomez JMD;Hoover V;Nazir NT;Nichols K;Reisenberg A;Rao A;Sanghani R;Tracy M;Volgman AS

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由于 20 世纪 90 年代初美国女性心血管发病率和死亡率不断上升,因此建立了女性心脏中心 (HCW)。我们的综述涵盖流行病学、危险因素、诊断策略、治疗以及医护人员在管理女性缺血性心脏病 (IHD) 方面的作用。医护人员使用多学科团队来管理患有 IHD 的女性。由于缺乏调查 IHD 各种表现的随机对照试验,一些治疗方法不是基于证据的,例如冠状动脉微血管功能障碍和自发性冠状动脉夹层的治疗方法。性别特异性危险因素已被确定,多模态心脏成像在诊断女性 IHD 方面正在得到改进。目前正在研究治疗方法,以帮助改善患有 IHD 的女性的症状和结果。患有 IHD 的女性的护理已取得进展。医护人员可以在治疗患有 IHD 的女性、开展研究以及成为研究参与者的来源方面发挥重要作用。
Heart centers for women (HCW) were developed due to the rising cardiovascular morbidity and mortality in women in the United States in the early 1990s. Our review encompasses the epidemiology, risk factors, diagnostic strategies, treatments, and the role of HCW in managing women with ischemic heart disease (IHD). HCW use a multidisciplinary team to manage women with IHD. Due to the paucity of randomized controlled trials investigating various manifestations of IHD, some treatments are not evidence-based such as those for coronary microvascular dysfunction and spontaneous coronary artery dissection. Sex-specific risk factors have been identified and multimodality cardiac imaging is improving in diagnosing IHD in women. Treatments are being studied to help improve symptoms and outcomes in women with IHD. There has been progress in the care of women with IHD. HCW can be instrumental in treating women with IHD, doing research, and being a source of research study participants.
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