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Global Variations A...
Global Variations According to Sex in Patients Hospitalized for Heart Failure in the REPORT-HF Registry
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- Tromp, Jasper (författare)
- Natl Univ Singapore, Singapore; Natl Univ Hlth Syst, Singapore; Duke NUS Med Sch, Singapore; Natl Univ Singapore, Singapore
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- Ezekowitz, Justin A. (författare)
- Univ Alberta, Canada
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- Ouwerkerk, Wouter (författare)
- Natl Heart Ctr, Singapore; Univ Amsterdam, Netherlands
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- Chandramouli, Chanchal (författare)
- Duke NUS Med Sch, Singapore; Natl Heart Ctr, Singapore
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- Yiu, Kai Hang (författare)
- Univ Hong Kong, Peoples R China
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- Angermann, Christiane E. (författare)
- Univ Hosp Wurzburg, Germany
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- Dahlström, Ulf (författare)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Ertl, Georg (författare)
- Univ Hosp Wurzburg, Germany
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- Hassanein, Mahmoud (författare)
- Alexandria Univ, Egypt
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- Perrone, Sergio V. (författare)
- El Cruce Hosp Florencio Varel, Argentina
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- Ghadanfar, Mathieu (författare)
- M Ghadanfar Consulting Life Sci, Switzerland
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- Schweizer, Anja (författare)
- Novartis Pharm, Switzerland
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- Obergfell, Achim (författare)
- Novartis Pharm, Switzerland
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- Dickstein, Kenneth (författare)
- Univ Bergen, Norway
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- Collins, Sean P. (författare)
- Vanderbilt Univ, TN USA
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- Filippatos, Gerasimos (författare)
- Univ Cyprus, Cyprus; Natl & Kapodistrian Univ Athens, Greece
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- Cleland, John G. F. (författare)
- Univ Glasgow, Scotland; Imperial Coll, England
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- Lam, Carolyn S. P. (författare)
- Duke NUS Med Sch, Singapore; Natl Heart Ctr, Singapore; Natl Heart Ctr Singapore, Singapore
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(creator_code:org_t)
- ELSEVIER SCI LTD, 2023
- 2023
- Engelska.
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Ingår i: JACC. Heart failure. - : ELSEVIER SCI LTD. - 2213-1779 .- 2213-1787. ; 11:9, s. 1262-1271
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BACKGROUND Previous reports suggest that risk factors, management, and outcomes of acute heart failure (AHF) may differ by sex, but they rarely extended analysis to low-and middle-income countries.OBJECTIVES In this study, the authors sought to analyze sex differences in treatment and outcomes in patients hospitalized for AHF in 44 countries.METHODS The authors investigated differences between men and women in treatment and outcomes in 18,553 patients hospitalized for AHF in 44 countries in the REPORT-HF (Registry to Assess Medical Practice With Longitudinal Observation for the Treatment of Heart Failure) registry stratified by country income level, income disparity, and world region. The primary outcome was 1-year all-cause mortality.RESULTS Women (n = 7,181) were older than men (n = 11,372), were more likely to have heart failure with preserved left ventricular ejection fraction, had more comorbid conditions except for coronary artery disease, and had more severe signs and symptoms at admission. Coronary angiography, cardiac stress tests, and coronary revascularization were less frequently performed in women than in men. Women with AHF and reduced left ventricular ejection fraction were less likely to receive an implanted device, regardless of region or country income level. Women were more likely to receive treatments that could worsen HF than men (18% vs 13%; P < 0.0001). In countries with low-income disparity, women had better 1-year survival than men. This advantage was lost in countries with greater income disparity (P-interaction < 0.001).CONCLUSIONS Women were less likely to have diagnostic testing or receive guideline-directed care than men. A survival advantage for women was observed only in countries with low income disparity, suggesting that equity of HF care between sexes remains an unmet goal worldwide. (J Am Coll Cardiol HF 2023;11:1262-1271) (c) 2023 by the American College of Cardiology Foundation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- heart failure; sex differences; treatment
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Tromp, Jasper
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Ezekowitz, Justi ...
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Ouwerkerk, Woute ...
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Chandramouli, Ch ...
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Yiu, Kai Hang
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Angermann, Chris ...
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Dahlström, Ulf
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Ertl, Georg
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Hassanein, Mahmo ...
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Perrone, Sergio ...
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Ghadanfar, Mathi ...
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Schweizer, Anja
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Obergfell, Achim
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Dickstein, Kenne ...
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Collins, Sean P.
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Filippatos, Gera ...
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Cleland, John G. ...
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Lam, Carolyn S. ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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JACC. Heart fail ...
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Linköpings universitet