2025 AHA科学声明：当前肺栓塞的治疗和结果差异.pdfVIP

Circulation

AHASCIENTIFICSTATEMENT

DisparitiesinCurrentPulmonaryEmbolism

ManagementandOutcomes:AScientific

StatementFromtheAmericanHeartAssociation

EdwinA.Takahashi,MD,Chair;AkhileshK.Sista,MD,ViceChair;DanielAddison,MD;BehnoodBikdeli,MD,MS;

VivianL.Bishay,MD;SueGu,MD;MaureenN.Hood,PhD,RN;DianaLitmanovich,MD;SanjayMisra,MD;GauthamReddy,MD;

onbehalfoftheAmericanHeartAssociationCouncilonCardiovascularRadiologyandIntervention;CouncilonCardiovascular

andStrokeNursing;CouncilonClinicalCardiology;andCouncilonPeripheralVascularDisease

ABSTRACT:Pulmonaryembolismisacommoncauseofcardiovascular-associatedmorbidityandmortality.Althoughpulmonary

embolismaffectsindividualsfromalldemographics,theincidenceofpulmonaryembolismishigheramongpeoplefrom

certainracialgroups,reproductive-agewomencomparedwithage-matchedmen,andtransgenderpeopletakingestrogen

hormones.Furthermore,disparitiesmayexistinthediagnosisormanagementstrategiesofpulmonaryembolismassociated

withrace,ethnicity,sex,orsocioeconomicstatus,whichmaycorrelatewithpoorerdownstreamoutcomes,includingrecurrent

pulmonaryembolism,chronicthromboembolicpulmonaryhypertension,orshort-orlong-termmortality.Thisscientific

statementsummarizesdisparitiesindiagnosis,treatmentstrategies,andoutcomesrelatedtopulmonaryembolism,and

reviewsapproachestocreateequitablepulmonaryembolismcareandaddresstheknowledgegapsintheliterature.

KeyWords:AHAScientificStatements◼deliveryofhealthcare◼pulmonaryembolism◼risk

ulmonaryembolism(PE)isapotentiallylife-investigationsforPE,includingclinicaltrials,are

threateningdiseaseresponsiblefor≈100000discussed.