Influence of Sex on Treatment and Outcome in Chronic Heart Failure

被引:18
作者
Frankenstein, Lutz [1 ]
Clark, Andrew L. [2 ]
Ribeiro, Jorge P. [3 ,4 ]
机构
[1] Heidelberg Univ, Dept Cardiol, D-69120 Heidelberg, Germany
[2] Univ Hull, Dept Acad Cardiol, Kingston Upon Hull, Yorks, England
[3] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Div Cardiol, Porto Alegre, RS, Brazil
[4] Univ Fed Rio Grande do Sul, Fac Med, Dept Med, Porto Alegre, RS, Brazil
关键词
Ace-inhibitor; Adherence; Aldosterone antagonist; Angiotensin receptor blocker; Beta-blocker; Gender; Heart failure; Medication; Outcome; Sex; Survival; Treatment; LEFT-VENTRICULAR DYSFUNCTION; CONVERTING-ENZYME-INHIBITORS; QUALITY-OF-CARE; SERUM DIGOXIN CONCENTRATION; GENDER-RELATED DIFFERENCES; RANDOMIZED-TRIAL; LONG-TERM; SYSTOLIC DYSFUNCTION; RECEPTOR BLOCKADE; EJECTION FRACTION;
D O I
10.1111/j.1755-5922.2010.00253.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The population is aging, the prevalence of heart failure increases with age, and on average women live longer than men. There is evidence for sex-specific effects of individual, guideline-recommended drugs used for treatment of chronic heart failure. Women are underrepresented in most clinical trials and only a minority of drug applications to regulatory authorities have included sex analyses. The present review focuses on the potential female survival benefit in heart failure, the influence of sex on medical treatment in a broader sense, and the potential benefit to be derived from guideline recommended treatment and common adjunctive heart failure medication.
引用
收藏
页码:182 / 192
页数:11
相关论文
共 111 条
[1]   Relationship of serum digoxin concentration to mortality and morbidity heart failure in women in the digitalis investigation group trial - A retrospective analysis [J].
Adams, KF ;
Patterson, JH ;
Gattis, WA ;
O'Connor, CM ;
Lee, CR ;
Schwartz, TA ;
Gheorghiade, M .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2005, 46 (03) :497-504
[2]   Spironolactone improves lung diffusion in chronic heart failure [J].
Agostoni, P ;
Magini, A ;
Andreini, D ;
Contini, M ;
Apostolo, A ;
Bussotti, M ;
Cattadori, G ;
Palermo, P .
EUROPEAN HEART JOURNAL, 2005, 26 (02) :159-164
[3]   Patients in primary health care diagnosed and treated as heart failure, with special reference to gender differences [J].
Agvall, B ;
Dahlström, U .
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE, 2001, 19 (01) :14-19
[4]   Digoxin and reduction in mortality and hospitalization in heart failure:: a comprehensive post hoc analysis of the DIG trial [J].
Ahmed, A ;
Rich, MW ;
Love, TE ;
Lloyd-Jones, DM ;
Aban, IB ;
Colucci, WS ;
Adams, KF ;
Gheorghiade, M .
EUROPEAN HEART JOURNAL, 2006, 27 (02) :178-186
[5]   Serum digoxin concentration and outcomes in women with heart failure: A bi-directional effect and a possible effect modification by ejection fraction [J].
Ahmed, A ;
Aban, IB ;
Weaver, MT ;
Aronow, WS ;
Fleg, JL .
EUROPEAN JOURNAL OF HEART FAILURE, 2006, 8 (04) :409-419
[6]   A propensity-matched study of the effects of chronic diuretic therapy on mortality and hospitalization in older adults with heart failure [J].
Ahmed, Ali ;
Young, James B. ;
Love, Thomas E. ;
Levesque, Raynald ;
Pitt, Betram .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2008, 125 (02) :246-253
[7]   Effects of digoxin at low serum concentrations on mortality and hospitalization in heart failure: A propensity-matched study of the DIG trial [J].
Ahmed, Ali ;
Pitt, Bertram ;
Rahimtoola, Shahbudin H. ;
Waagstein, Finn ;
White, Michel ;
Love, Thomas E. ;
Braunwald, Eugene .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2008, 123 (02) :138-146
[8]   Heart failure, chronic diuretic use, and increase in mortality and hospitalization: an observational study using propensity score methods [J].
Ahmed, Ali ;
Husain, Ahsan ;
Love, Thomas E. ;
Gambassi, Giovanni ;
Dell'Italia, Louis J. ;
Francis, Gary S. ;
Gheorghiade, Mihai ;
Allman, Richard M. ;
Meleth, Sreelatha ;
Bourge, Robert C. .
EUROPEAN HEART JOURNAL, 2006, 27 (12) :1431-1439
[9]   Effectiveness of Digoxin in Reducing One-Year Mortality in Chronic Heart Failure in the Digitalis Investigation Group Trial [J].
Ahmed, Ali ;
Waagstein, Finn ;
Pitt, Bertram ;
White, Michel ;
Zannad, Faiez ;
Young, James B. ;
Rahimtoola, Shahbudin H. .
AMERICAN JOURNAL OF CARDIOLOGY, 2009, 103 (01) :82-87
[10]   Gender-related dissociation in outcomes in chronic heart failure: Reduced mortality but similar hospitalization in women [J].
Ahmed, Mustafa I. ;
Lainscak, Mitja ;
Mujib, Marjan ;
Love, Thomas E. ;
Aban, Inmaculada ;
Pina, Ileana L. ;
Aronow, Wilbert S. ;
Bittner, Vera ;
Ahmed, Ali .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2011, 148 (01) :36-42