Italian Association of Hospital Cardiologists Position Paper ‘Gender discrepancy: time to implement gender-based clinical management’

Author:

Lucà Fabiana1ORCID,Pavan Daniela2,Gulizia Michele Massimo3ORCID,Manes Maria Teresa3,Abrignani Maurizio Giuseppe4,Benedetto Francesco Antonio1,Bisceglia Irma5,Brigido Silvana6,Caldarola Pasquale7,Calvanese Raimondo8ORCID,Canale Maria Laura9,Caretta Giorgio10,Ceravolo Roberto11,Chieffo Alaide12,Chimenti Cristina13ORCID,Cornara Stefano14,Cutolo Ada15,Di Fusco Stefania Angela16ORCID,Di Matteo Irene17,Di Nora Concetta18,Fattirolli Francesco19,Favilli Silvia20,Francese Giuseppina Maura3,Gelsomino Sandro20,Geraci Giovanna21ORCID,Giubilato Simona22,Ingianni Nadia23,Iorio Annamaria24,Lanni Francesca25,Montalto Andrea26,Nardi Federico27,Navazio Alessandro28ORCID,Nesti Martina29,Parrini Iris30,Pilleri Annarita31,Pozzi Andrea24,Rao Carmelo Massimiliano1,Riccio Carmine32,Rossini Roberta33ORCID,Scicchitano Pietro34ORCID,Valente Serafina35,Zuccalà Giuseppe36,Gabrielli Domenico3738,Grimaldi Massimo39ORCID,Colivicchi Furio16,Oliva Fabrizio17

Affiliation:

1. Cardiology Department, Grande Ospedale Metropolitano GOM, Reggio Calabria, Via Melacriono , 1, 89129 Reggio, Calabria , Italy

2. Cardio-Cerebro-Rehabilitation Department, Azienda Sanitaria Friuli Occidentale , (AS FO) Via della Vecchia Ceramica, 1, Pordenone 33170 , Italy

3. Cardiology Unit, Cardiology Spoke Cetraro-Paola, San Franceco di paola Hospital , 87027 Paola, CS , Italy

4. Cardiology Unit, Cardiology “Paolo Borsellino” Hospital, Contrada Cardilla , 91025 Marsala, TP , Italy

5. Cardio-Thoraco-Vascular Department, San Camillo Forlanini Hospital , 00152 Roma , Italy

6. Cardiology Clinics, ‘F.’ Hospital Jaia’ , 70014 Conversano, BA , Italy

7. San Paolo Hospital , 70132 Bari , Italy

8. Ospedale del Mare di Napoli - ASL Napoli , 80147 Napoli , Italy

9. U.O.C. Cardiologia, Nuovo Ospedale Versilia , Lido di Camaiore , Italy

10. Cardiology Unit, Sant’Andrea Hospital , 19100 La Spezia, SP , Italy

11. Cardiology Division, Giovanni Paolo II Hospial , 88046 Lamezia Terme, CZ , Italy

12. Interventional Cardiology, IRCCS Ospedale San Raffaele , 20132 Milano , Italy

13. Department of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, Policlinico Umberto I Hospital, Sapienza University of Rome , 00161 Roma , Italy

14. Levante Cardiology, San Paolo Hospital , Savona, 17100 Savona, SV , Italy

15. Cardiolog Unit, Ospedale dell’Angelo , 30172 Mestre , Italy

16. Cardiology Unit, San Filippo Neri Hospital , 00135 Roma , Italy

17. Cardiology Unit, Cariovascular Department , ‘A. De Gasperis’, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milano , Italy

18. Cardiac Surgery Unit, Santa Maria della Misericordia Hospital , 33100 Udine, UD , Italy

19. Department of Experimental and Clinical Medicine , Florence University, 50121 Firenze , Italy

20. Pediatric and Transition Cardiology Unit, Meyer University Hospital , 50139 Florence , Italy

21. Cardiology Unit, Sant'Antonio Abate di Erice , 91016 Erice, Trapani , Italy

22. Cardiology Unit, Cannizzaro Hospital , Catania 95126 , Italy

23. Cardiologia, ASP Trapani , 91100 Trapani, TP , Italy

24. Cardiology Unity 1, Cardiology 1, Cardiovascular Department , Papa Giovanni XXIII Hospital, 24127 Bergamo , Italy

25. Cardiology Unity, San Giuseppe Moscati Hospital , 83100 Avellino , Italy

26. Cardiac Surgery Unit, San Camillo Forlanini Hospital , 00152 Roma , Italy

27. Dipartimento di Cardiologia, Ospedale Santo Spirito , Casale Monferrato , Italy

28. Cardiology Unity, San Camillo Forlanini Hospital , 00152 Roma , Italy

29. Cardiology Unity, San Donato Hospital , 52100 Arezzo , Italy

30. Cardiology Unity, Umberto I Di Torino Hospital , 10128 Torino , Italy

31. Federico Nardi, Cardiology Unit, Casale Monferrato Hospital , 15033 Casale Monferrato (AL) , Italy

32. Post-Acute Patient Follow-up Unit, Cardio-Vascular Department , AORN Sant'Anna and San Sebastiano, Caserta , Italy

33. Cardiology Department , 12100 Cuneo, CN , Italy

34. Ospedale Della Murgia “Fabio Perinei” , 70022 Altamura BA , Italy

35. Clinical-Surgical Cardiology, A.O.U. Siena, Santa Maria alle Scotte Hospital , 53100 Siena , Italy

36. Department of Geriatrics, Center for Aging Medicine , Catholic University of the Sacred Heart and IRCCS Fondazione Policlinico A. Gemelli, 00168 Rome , Italy

37. Dipartimento Cardio-Toraco-Vascolare, U.O.C. Cardiologia, Azienda Ospedaliera San Camillo Forlanini , Roma , Italy

38. Fondazione per il Tuo cuore—Heart Care Foundation , 50121 Firenze , Italy

39. Cardiology Division, Coronary Intensive Care Unit , Miulli Hospital, 70021 Acquaviva delle Fonti , Italy

Abstract

Abstract It has been well assessed that women have been widely under-represented in cardiovascular clinical trials. Moreover, a significant discrepancy in pharmacological and interventional strategies has been reported. Therefore, poor outcomes and more significant mortality have been shown in many diseases. Pharmacokinetic and pharmacodynamic differences in drug metabolism have also been described so that effectiveness could be different according to sex. However, awareness about the gender gap remains too scarce. Consequently, gender-specific guidelines are lacking, and the need for a sex-specific approach has become more evident in the last few years. This paper aims to evaluate different therapeutic approaches to managing the most common women’s diseases.

Funder

Centro Servizi ANMCO SrL—Società Benefit

Publisher

Oxford University Press (OUP)

Reference326 articles.

1. Update on management of cardiovascular diseases in women;Lucà;J Clin Med,2022

2. Gender discrepancy: time to implement gender-based clinical management;Lucà;G Ital Cardiol (Rome),2024

3. The epidemiology of the association between hypertension and menopause;Staessen;J Hum Hypertens,1998

4. Metabolic disorders in menopause;Jeong;Metabolites,2022

5. Hormone therapy for postmenopausal women;Schwartz;N Engl J Med,2020

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