2024年《女性心脏急症管理》临床声明解读

摘要： 心脏急症发病迅速，严重威胁患者的身体健康和生命安全。长期以来，由于性别偏见、症状不典型等原因，女性心脏急症存在研究不足，诊断、治疗不及时的问题，且心脏急症在病理生理机制、危险因素及管理和结局方面存在明显的性别差异。在我国，女性心脏急症发病率高、研究起步晚，且目前尚无针对女性心脏急症的权威指南发布，故加强女性心脏急症管理十分迫切。本文组织全科医学、心血管和急诊医学临床医生对急性心血管护理协会等机构发布的2024年《女性心脏急症管理》临床声明进行解读，以期规范女性心脏急症的诊疗，改善健康结局。

关键词: 心脏, 急性冠脉综合征, 急性心力衰竭, 心源性休克, 心脏停搏, 女性, 性别差异

Abstract:

Cardiac emergencies occur rapidly and pose a serious threat to the health and lives of patients. Female cardiac emergencies have been under-researched, under-diagnosed and under-treated due to gender bias and atypical symptoms for a long time. There are clear gender differences in the pathophysiological mechanisms, risk factors, management and outcomes of female cardiac emergencies. In China, the prevalence of female cardiac emergencies is notably high, and research on it has commenced relatively late. There is no authoritative guideline for female cardiac emergencies, so it is urgent to enhance the management strategies for these conditions. To standardize the management of cardiac emergencies in women and enhance health outcomes, clinicians from general medicine, cardiology and emergency medicine were convened to interpret the clinical statement titled Management of Female Cardiac Emergencies published in 2024 by the Association for Acute Cardiovascular Care and other organizations.

Key words: Cardiac, Acute coronary syndrome, Acute heart failure, Cardiogenic shock, Cardiac arrest, Female, Gender differences

引用本文

黄传应,廖晓阳,杨荣,等. 2024年《女性心脏急症管理》临床声明解读[J]. 中国全科医学, 2025, 28(12): 1427-1432. DOI: 10.12114/j.issn.1007-9572.2024.0314.

HUANG Chuanying,LIAO Xiaoyang,YANG Rong, et al. Interpretation of the Clinical Statement for Management of Female Cardiac Emergencies in 2024[J]. Chinese General Practice, 2025, 28(12): 1427-1432. DOI: 10.12114/j.issn.1007-9572.2024.0314.

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