Sex- and gender-specific research priorities for the emergency management of heart failure and acute arrhythmia

Proceedings from the 2014 academic emergency medicine consensus conference cardiovascular research workgroup

Alyson J. McGregor, W. Frank Peacock, Anna Marie Chang, Basmah Safdar, Deborah Diercks

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The emergency department (ED) is the point of first contact for patients with acute heart failure and arrhythmias, with 1 million annual ED visits in the United States. Although the total numbers of men and women living with heart failure are similar, female patients are underrepresented in clinical studies, with current knowledge predominantly based on data from male patients. This has led to an underappreciation of the sex-specific differences in clinical characteristics and pathophysiology-based management of heart failure. Similar disparities have been found in management of acute arrhythmias, especially atrial arrhythmias that lead to an increased risk of stroke in women. Additionally, peripartum and postpartum cardiomyopathy represent a diagnostic and treatment dilemma. This article is the result of a breakout session in the cardiovascular and resuscitation work group of the 2014 Academic Emergency Medicine consensus conference "Gender-Specific Research in Emergency Medicine: Investigate, Understand, and Translate How Gender Affects Patient Outcomes." A nominal group technique was used to identify and prioritize themes and research questions using electronic mail, monthly conference calls, in-person meetings, and Web-based surveys between June 2013 and May 2014. Consensus was achieved through three rounds of nomination followed by the meeting on May 13, 2014, and resulted in seven priority themes that are essential to the common complex clinical syndrome of heart failure for both men and women and include the areas of pathophysiology; presentation and symptomatology; and diagnostic strategies using biomarkers, treatment, and mortality, with special consideration to arrhythmia management and pregnancy.

Original languageEnglish (US)
Pages (from-to)1361-1369
Number of pages9
JournalAcademic Emergency Medicine
Volume21
Issue number12
DOIs
StatePublished - Dec 1 2014
Externally publishedYes

Fingerprint

Emergency Medicine
Cardiac Arrhythmias
Consensus
Emergencies
Heart Failure
Research
Hospital Emergency Service
Peripartum Period
Cardiomyopathies
Resuscitation
Sex Characteristics
Postpartum Period
Biomarkers
Stroke
Pregnancy
Mortality
Therapeutics

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Sex- and gender-specific research priorities for the emergency management of heart failure and acute arrhythmia : Proceedings from the 2014 academic emergency medicine consensus conference cardiovascular research workgroup. / McGregor, Alyson J.; Frank Peacock, W.; Chang, Anna Marie; Safdar, Basmah; Diercks, Deborah.

In: Academic Emergency Medicine, Vol. 21, No. 12, 01.12.2014, p. 1361-1369.

Research output: Contribution to journalArticle

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