Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Oct;25(10):1257-1267.
doi: 10.1007/s11886-023-01946-y. Epub 2023 Sep 12.

Addressing Barriers for Women with Advanced Heart Failure

Estefania Oliveros  1 , Clara Inés Saldarriaga Giraldo  2 , Jillian Hall  3 , Elizabeth Tinuoye  4 , Maria Juliana Rodriguez  5 , Catalina Gallego  2 , Johanna Paola Contreras  4
Affiliations
Review

Addressing Barriers for Women with Advanced Heart Failure

Estefania Oliveros et al. Curr Cardiol Rep. 2023 Oct.

Abstract

Purpose of review: Describe disparities in diagnosis and management between men and women with advanced heart failure (HF). Our goal is to identify barriers and suggest solutions.

Recent findings: Women with advanced HF are less likely to undergo diagnostic testing and procedures (i.e., revascularization, implantable cardioverter defibrillators, cardiac resynchronization therapy, mechanical circulatory support, and orthotopic heart transplantation). Disparities related to gender create less favorable outcomes for women with advanced HF. The issues arise from access to care, paucity of knowledge, enrollment in clinical trials, and eligibility for advanced therapies. In this review, we propose a call to action to level the playing field in order to improve survival in women with advanced HF.

Keywords: Female; Heart failure; LVAD; Sex disparities; Transplant; Women.

PubMed Disclaimer

References

Papers of particular interest, published recently, have been highlighted as: •   Of importance •• Of major importance
    1. Tsao CW, Aday AW, Almarzooq ZI, Anderson CAM, Arora P, Avery CL, et al. Heart disease and stroke statistics-2023 update: a report from the American Heart Association. Circulation. 2023;147(8):e93–621. - PubMed - DOI
    1. Writing Group M, Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, et al. Heart Disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation. 2016;133(4):e38–360.
    1. Truby LK, Rogers JG. Advanced heart failure: epidemiology, diagnosis, and therapeutic approaches. JACC Heart Fail. 2020;8(7):523–36. - PubMed - DOI
    1. •• Shaw LJ, Pepine CJ, Xie J, Mehta PK, Morris AA, Dickert NW, et al. Quality and equitable health care gaps for women: attributions to sex differences in cardiovascular medicine. J Am Coll Cardiol. 2017;70(3):373–88. Delineation of the components of high-quality health care, including a women-specific research agenda, remains a vital part of strategic planning to improve the lives of women at risk for or living with cardiovascular disease. - PubMed - DOI
    1. Blumer V, Greene SJ, Wu A, Butler J, Ezekowitz JA, Lindenfeld J, et al. Sex differences in clinical course and patient-reported outcomes among patients hospitalized for heart failure. JACC Heart Fail. 2021;9(5):336–45.

LinkOut - more resources