Differences in presentation, diagnosis and management of heart failure in women. A scientific statement of the Heart Failure Association of the ESC.

Device Heart failure Medical therapy Risk factor Sex Women

Journal

European journal of heart failure
ISSN: 1879-0844
Titre abrégé: Eur J Heart Fail
Pays: England
ID NLM: 100887595

Informations de publication

Date de publication:
23 May 2024
Historique:
revised: 11 04 2024
received: 05 02 2024
accepted: 29 04 2024
medline: 24 5 2024
pubmed: 24 5 2024
entrez: 24 5 2024
Statut: aheadofprint

Résumé

Despite the progress in the care of individuals with heart failure (HF), important sex disparities in knowledge and management remain, covering all the aspects of the syndrome, from aetiology and pathophysiology to treatment. Important distinctions in phenotypic presentation are widely known, but the mechanisms behind these differences are only partially defined. The impact of sex-specific conditions in the predisposition to HF has gained progressive interest in the HF community. Under-recruitment of women in large randomized clinical trials has continued in the more recent studies despite epidemiological data no longer reporting any substantial difference in the lifetime risk and prognosis between sexes. Target dose of medications and criteria for device eligibility are derived from studies with a large predominance of men, whereas specific information in women is lacking. The present scientific statement encompasses the whole scenario of available evidence on sex-disparities in HF and aims to define the most challenging and urgent residual gaps in the evidence for the scientific and clinical HF communities.

Identifiants

pubmed: 38783694
doi: 10.1002/ejhf.3284
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Authors. European Journal of Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.

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Auteurs

Giuseppe M C Rosano (GMC)

Chair of Pharmacology, Department of Human Sciences and Promotion of Quality of Life, San Raffaele University of Rome, Rome, Italy.
Cardiology, San Raffaele Cassino Hospital, Cassino, Italy.

Davide Stolfo (D)

Division of Cardiology, Cardiothoracovascular Department, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy.
Division of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.

Lisa Anderson (L)

Cardiovascular Clinical Academic Group, Molecular and Clinical Sciences Research Institute, St. George's University of London and St George's University Hospitals NHS Foundation Trust, London, UK.

Magdy Abdelhamid (M)

Department of Cardiovascular Medicine, Faculty of Medicine, Kasr Al Ainy, Cairo University, Giza, Egypt.

Marianna Adamo (M)

ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.

Johann Bauersachs (J)

Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.

Antoni Bayes-Genis (A)

Heart Institute, Hospital Universitari Germans Trias i Poujol, CIBERCV, Badalona, Spain.

Michael Böhm (M)

Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Saarland University, Homburg/Saar, Germany.

Ovidiu Chioncel (O)

University of Medicine Carol Davila, Bucharest, Romania.
Emergency Institute for Cardiovascular Diseases 'Prof. C.C. Iliescu', Bucharest, Romania.

Gerasimos Filippatos (G)

National & Kapodistrian University of Athens School of Medicine, Athens University Hospital Attikon, Chaidari, Greece.

Loreena Hill (L)

School of Nursing and Midwifery, Queen's University, Belfast, UK.

Mitja Lainscak (M)

Division of Cardiology, General Hospital Murska Sobota, Rakičan, Slovenia.
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Ekaterini Lambrinou (E)

Department of Nursing, Cyprus University of Technology, Limassol, Cyprus.

Angela H E M Maas (AHEM)

Department of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands.

Angela R Massouh (AR)

Hariri School of Nursing, American University of Beirut, Beirut, Lebanon.

Brenda Moura (B)

Armed Forces Hospital, Porto, Portugal.
Faculty of Medicine of University of Porto, Porto, Portugal.

Mark C Petrie (MC)

School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.

Amina Rakisheva (A)

City Cardiological Center, Almaty Kazakhstan Qonaev city hospital, Almaty Region, Kazakhstan.

Robin Ray (R)

Department of Cardiology, St George's Hospital, London, UK.

Gianluigi Savarese (G)

Division of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Heart and Vascular and Neuro Theme, Karolinska University Hospital, Stockholm, Sweden.

Hadi Skouri (H)

Division of Cardiology, Sheikh Shakhbout Medical city, Abu Dhabi, UAE.

Sophie Van Linthout (S)

Berlin Institute of Health at Charité-Universitätsmedizin Berlin, BIH Center for Regenerative Therapies (BCRT), Berlin, Germany.
German Center for Cardiovascular Research (DZHK), Partner site Berlin, Berlin, Germany.

Cristiana Vitale (C)

Department of Cardiology, St George's Hospital, London, UK.

Maurizio Volterrani (M)

Department of Human Science and Promotion of Quality of Life, San Raffaele Open University, Rome, Italy.
Cardio-Pulmonary Department, IRCCS San Raffaele, Rome, Italy.

Marco Metra (M)

ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.

Andrew J S Coats (AJS)

Heart Research Institute, Sydney, NSW, Australia.

Classifications MeSH