Diferencias en función del sexo en el perfil clínico y pronóstico de pacientes con insuficiencia cardiaca. Resultados del Registro RICA

Conde-Martel, Alicia; Arkuch, M.E.; Formiga, Francesç; Espinosa, Luís; Aramburu‐Bodas, Óscar; González-Franco, Álvaro; Dávila‐Ramos, Melitón Francisco; Suárez-Pedreira, Iván; Herrero-Domingo, A.; Montero-Pérez-Barquero, Manuel

doi:10.1016/j.rce.2015.02.010

Cited by 22 publications

(4 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In FHS, HF was associated with 4.5-fold risk of AF in men and 5.9-fold in woman (26). In the RICA HF registry, AF was more common among women with HF compared to men (41). However, in an observational study from the national HF referral center in Vienna, AF was more frequent among men with HF with preserved ejection fraction (HFpEF) compared with women (68.4% in men and 54.7% in women) (42).…”

Section: Cardiac Diseases As Risk Factors For Atrial Fibrillationmentioning

confidence: 98%

Differences in Epidemiology and Risk Factors for Atrial Fibrillation Between Women and Men

Kavousi

2020

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

Atrial fibrillation (AF), the most common sustained cardiac arrhythmia, is one of the most frequent cardiovascular diseases among both women and men. Although age-adjusted AF incidence and prevalence is larger among men, women are older at the time of AF diagnosis and have larger risk for AF-associated adverse outcomes such as morality and stroke. Based on evidence from epidemiological studies, elevated body mass index seems to confer a higher risk of AF among men. However, evidence regarding sex differences in the association between diabetes mellitus, elevated blood pressure, and dysglycemia with AF remains conflicting. While men with AF have larger burden of coronary artery disease, women with AF tend to have a larger prevalence of heart failure and valvular heart disease. Recently, several women-specific risk factors including pregnancy and its complications and number of children have been associated with AF. Earlier age at menopause, despite being a strong marker of adverse cardiometabolic risk, does not seem to be associated with increased risk of AF. To reduce the AF burden in both genders, better understanding of the differences between women and men with regard to AF is central. Large-scale studies are needed to separately investigate and report on women and men. Besides observations from epidemiological and clinical studies, to improve our understanding of sexual dimorphism in AF, sufficiently large genome-wide association studies as well as well-powered Mendelian randomization studies are essential to shed light on the sex-specific nature of the associations of risk factors with AF.

show abstract

Section: Cardiac Diseases As Risk Factors For Atrial Fibrillationmentioning

confidence: 98%

Differences in Epidemiology and Risk Factors for Atrial Fibrillation Between Women and Men

Kavousi

2020

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…BMI confers more of a risk of atrial fibrillation in men, though this is not a uniform finding [ 8 ]. Other risk factors including hypertension and diabetes seem to confer similar risk, and there is a trend toward an increased risk of atrial fibrillation in women with heart failure, though this is also not a universal finding [ 6 , 9 , 10 ]. Women are older at the time of diagnosis and have higher CHA 2 DS 2 -VASc scores [ 11 , 12 ] (Table 1 ).…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Atrial Fibrillation: A Review of Epidemiology, Management, and Outcomes

Westerman

Wenger

2019

CCR

153

116

View full text Add to dashboard Cite

Atrial fibrillation is the most common sustained cardiac arrhythmia. The scope and impact of atrial fibrillation are wide; it can affect cardiac function, functional status, and quality of life, and it confers a stroke risk. There are sex differences in atrial fibrillation across the scope of the disease process, from epidemiology and causative mechanisms to management and outcomes. The approach to management of atrial fibrillation differs between women and men, and there are sex differences in response to medical therapy and catheter ablation. There are many gaps in our knowledge of the gender differences in atrial fibrillation, and many opportunities for future research.

show abstract

“…Gender differences have been described with HF affecting men earlier than women [13]. In addition, a number of studies have highlighted the association between socioeconomic level and mortality [14].…”

Section: Introductionmentioning

confidence: 99%

Living with advanced heart failure: A qualitative study

et al. 2020

View full text Add to dashboard Cite

Introduction Information about how patients with advanced heart failure (HF) live and cope with their disease remains scarce. The objective of this study was to explore, from phenomenological and holistic perspectives, the experiences of patients suffering from advanced HF, attended at home in the primary care setting in 2018. Materials and methods Qualitative study conducted in 4 primary healthcare centers in Barcelona (Spain). Twelve in-depth interviews were conducted in advanced HF patients, aged over 65 and visited regularly at home. We developed a purposeful sampling, accounting for variability in gender, age, and socioeconomic level. Leventhal’s framework was used to analyze the interviews. Results Participants received insufficient and contradictory information about HF. They talked about their cognitive representation and claimed a better communication with healthcare professionals. Due to their advanced age, subjects considered their daily living limitations to be normal rather than as a consequence of HF. Gender differences in emotional representation were clearly observed. Women considered themselves the keystone of correct family “functioning” and thought that they were not useful if they could not correspond to gendered societal expectations. Cognitive coping strategies included specific diets, taking medication, and registering weight and blood pressure. Nevertheless, they perceived the locus of control as external and felt unable to manage HF progression. Their emotional coping strategies included some activities at home such as watching television and reading. Social support was perceived crucial to the whole process. Conclusions Locus of control in advanced HF was perceived as external. Healthcare professionals should adapt emotional health interventions in patients with advanced HF based on a gender perspective. Social support was found to be crucial in facing the disease. Patients reported poor communication with healthcare professionals.

show abstract

Diferencias en función del sexo en el perfil clínico y pronóstico de pacientes con insuficiencia cardiaca. Resultados del Registro RICA

Cited by 22 publications

References 29 publications

Differences in Epidemiology and Risk Factors for Atrial Fibrillation Between Women and Men

Differences in Epidemiology and Risk Factors for Atrial Fibrillation Between Women and Men

Gender Differences in Atrial Fibrillation: A Review of Epidemiology, Management, and Outcomes

Living with advanced heart failure: A qualitative study

Contact Info

Product

Resources

About