ISSN 1671-5411 CN 11-5329/R
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. The gender difference of utilization of cardiac implantable electronic device in China: data from Arrhythmia Interventional Therapy Data Registry. J Geriatr Cardiol 2018; 15(4): 310-314. doi: 10.11909/j.issn.1671-5411.2018.04.010
Citation: 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. The gender difference of utilization of cardiac implantable electronic device in China: data from Arrhythmia Interventional Therapy Data Registry. J Geriatr Cardiol 2018; 15(4): 310-314. doi: 10.11909/j.issn.1671-5411.2018.04.010

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

doi: 10.11909/j.issn.1671-5411.2018.04.010
Funds:

None

  • Received Date: 2017-06-13
  • Rev Recd Date: 2017-09-07
  • Publish Date: 2018-04-28
  • 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 vs. 4.2%, P P 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 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, female do have different epidemiology, pathophysiology and clinical presentation of many cardiac rhythm disorders when compared with male, and all these factors may affect the utilization of CIED implantation. But it also possibility that cultural and socioeconomic features may play a role in this apparent discrimination.
  • loading
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (783) PDF downloads(753) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return