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The gender difference of utilization of cardiac implantable electronic device in China: data from Arrhythmia Interventional Therapy Data Registry 认领 被引量:1

The gender difference of utilization of cardiac implantable electronic device in China: data from Arrhythmia Interventional Therapy Data Registry
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摘要 BackgroundCardiac 可植入的电子设备(CIED ) 极大地改进病人的幸存和生活质量。然而,关于这些设备的利用和利益有性差别。在这张未来的 CIED 注册表,我们试图在中国从 14 个省在 China.MethodsTwenty 中心在 CIED 利用估价性差别在我们的登记学习被包括。在在 2015 年 1 月和 2016 年 12 月之间的这二十个中心经历了 CIED 培植的所有病人是 8570 个病人全部的 included.ResultsA 在基线队被注册,包括 7203 心律调整器, 664 个可植入的心脏的使用高压脉冲来消减心脏(ICD ) 植入并且 703 心脏的再同步治疗设备(CRT/D ) 。完全, 4117 (48.0%) CIED 病人是女性的,并且超过 59% 心律调整器病人是女性的,但是女人们仅仅说明在这张注册表的三分之一 ICD 或 CRT/D 培植。在心律调整器和 ICD 指示的性之间有重要差别。女性是更可能的由于病了的湾穴症候群(SSS ) 收到了一个心律调整器(63.9% 对 51.0% , P < 0.001 ) 。收到 ICD 的女病人由于心脏的离子隧道疾病是更可能的(29.2% 对 4.2% , P < 0.001 ) 。在女病人的双房间的心律调整器的利用的百分比比男性显著地高(85.3% 对 81.1% , P < 0.001 ) 。但是男病人更多半被接待心脏的再同步治疗有使用高压脉冲来消减心脏的设备比女性(56.5% 对 41.9% , P = 0.001 ) 。在心律调整器病人,男性是更可能的有结构心疾病(31.3% 对 28.0% , P = 0.002 ) 。在 ICD 病人,男病人是更可能的有 ischemic 心疾病(48.2% 对 29.2% , P < 0.001 ) 。女人的吝啬的年龄在 CRT/D 培植的时候比男人旧(P = 0.014 ) 。 Nonischemic 心肌症(70.9%)是在经历了 CRT/D 的治疗的病人的最普通的病原学,不管男性或 female.ConclusionsIn 真实世界的背景,女性确实有不同传染病学, pathophysiology 和许多心脏的节奏混乱的临床的表示什么时候与相比男性,并且所有这些因素可以影响 CIED 培植的利用。但是它另外文化� Background Cardiac implantable electronic devices (CIEDs) greatly improve survival and life quality of patients. However, there are gender differences regarding both the utilization and benefit of these devices. In this prospective CIED registry, we aim to appraise the gender differences in CIED utilization in China. Methods Twenty centers from 14 provinces in China were included in our registry study. All patients who underwent a CIED implantation in these twenty centers between Jan 2015 and Dec 2016 were included. Results A total of 8570 patients were enrolled in the baseline cohort, including 7203 pacemaker, 664 implantable cardiac defibrillators (ICD) implants and 703 cardiac resynchronization therapy device (CRT/D). Totally, 4117 (48.0%) CIED patients were female, and more than 59% pacemaker patients were female, but women account only one third of ICD or CRT/D implantation in this registry. There were significant differences between genders at pacemaker and ICD indications. Female was more likely received a pacemaker due to sick sinus syndrome (SSS) (63.9% vs. 51.0%, P 〈 0.001). Female patients receiving an ICD were more likely due to cardiac ion channel disease (29.2% vs. 4.2%, P 〈 0.001). The percentage of utilization of dual-chamber pacemaker in female patients was significantly higher than male (85.3% vs. 81.1%, P 〈 0.001). But male patients were more likely received a cardiac resynchronization therapy devices with defibrillator than female (56.5% vs. 41.9%, P = 0.001). In pacemaker patient, male was more likely to have structure heart disease (31.3% vs. 28.0%, P = 0.002). In ICD patient, male patients were more likely to have ischemic heart disease (48.2% vs. 29.2%, P 〈 0.001). The mean age of women at the time of CRT/D implantation was older than men (P = 0.014). Nonischemic cardiomyopathy (70.9%) was the most common etiology in the patients who underwent the treat?ment of CRT/D, no matter male or female. Conclusions In real-world setting,
作者 Ruo-Han CHEN Ke-Ping CHEN Wei HUA Jing XU Lin CHEN Yang-Gang SU Xi SU Jian-Gang ZOU Ji YAN Jing-Feng WANG Bao-Peng TANG Mei-Xiang XIANG Shu ZHANG Ruo-Han Chen[1];Ke-Ping Chen[2];Wei Hua[3];Jing Xu[4];Lin Chen[5];Yang-Gang Su[6];Xi Su[7];Jian-Gang Zou[8];Ji Yan[9];Jing-Feng Wang[10];Bao-Peng Tang[11];Mei-Xiang Xiang[12];Shu Zhang[13]
出处 《老年心脏病学杂志:英文版》 SCIE CAS CSCD 2018年第4期310-314,共5页 Journal of Geriatric Cardiology
关键词 电子设备 治疗设备 心脏 心律 植入 中国 高压脉冲 调整器 Cardiac implantable electronic devices Gender Registry
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