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The effects of gender on electrical therapies for the heart: physiology, epidemiology, and access to therapies.
- Source :
-
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [Europace] 2017 Sep 01; Vol. 19 (9), pp. 1418-1426. - Publication Year :
- 2017
-
Abstract
- The difference between men and women is clear even just by looking at an electrocardiogram: females present higher resting heart rate, a shorter QRS complex length and greater corrected QT interval. The development of these differences from pubertal age onward suggests that sexual hormones play a key role, although their effect is far from being completely understood. Different incidences between sexes have been reported for many arrhythmias, both ventricular and supraventricular, and also for sudden cardiac death. Moreover, arrhythmias are an important issue during pregnancy, both for diagnosis and treatment. Interestingly, cardiovascular structural and electrophysiological remodelling promoted by exercise training enhances this 'gender effect'. Despite all these relevant issues, we lack gender specific recommendations in the current guidelines for electrical therapies for heart rhythm disorders and heart failure. Even more, we continue to see that fewer women are included in clinical trials and are less referred than men for these treatments.<br /> (Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2017. For permissions, please email: journals.permissions@oup.com.)
- Subjects :
- Action Potentials
Animals
Arrhythmias, Cardiac diagnosis
Arrhythmias, Cardiac epidemiology
Arrhythmias, Cardiac physiopathology
Electrocardiography
Electrophysiologic Techniques, Cardiac
Female
Heart Rate
Humans
Male
Pregnancy
Sex Factors
Treatment Outcome
Arrhythmias, Cardiac therapy
Health Services Accessibility
Health Status Disparities
Healthcare Disparities
Heart Conduction System physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-2092
- Volume :
- 19
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 28525585
- Full Text :
- https://doi.org/10.1093/europace/eux068