了解和意识到女性的心血管风险:我们在哪里?

Adele Lillo, G. Zito
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摘要

在过去的二十年中,一些研究调查了心血管疾病临床表现和预后的性别差异。这些研究的结果显示了一些与性别有关的重要差异。虽然对性别、年龄和文化行为对男女健康的影响进行了广泛的研究,但对性别差异对一般疾病、特别是心血管疾病的病理生理学和治疗的影响的了解和认识仍然很低。心脏病是全世界妇女死亡的主要原因,也是造成残疾的主要原因。尽管心脏病通常被认为是一种高龄疾病,但在美国,每年有超过1.5万名年龄≤55岁的女性死于心脏病。绝经后女性心血管疾病(CVD)的患病率与男性相同,然而,在所有年龄组中,患有CVD的女性的预后相对较男性差。因此,年轻女性不太可能受到心血管疾病的影响,但如果受到影响,则面临比男性更高的死亡率和并发症。
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Conoscenza e consapevolezza del rischio cardiovascolare nella donna: a che punto siamo?
Over the past two decades, several studies have examined gender differences in the clinical manifes-tations and prognosis of cardiovascular disease. The results of these studies have shown some important gender-related differences. While the effects that gender, age and cultural behavior have on the health of men and women have been extensively studied, knowledge and awareness of the impact that gender differences have on the pathophysiolo-gy and treatment of diseases in general and cardio-vascular diseases in particular are still low. Heart disease is the leading cause of death and a major contributor to disability among women world-wide. Although often considered an advanced-aging disease, more than 15,000 deaths each year among women aged ≤ 55 years in the United States can be at-tributed to heart disease. The prevalence of cardiovas-cular disease (CVD) in postmenopausal women is the same as in men, however, in all age groups, women with CVD have relatively worse outcomes than men. Therefore, young women would be less likely to be affected by CVD, but, if affected, are exposed to a death rate and higher complications than men.
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