Managing Ischemic Heart Disease in Women: Role of a Women's Heart Center

被引:16
作者
Khandelwal, Abha [1 ]
Bakir, May [2 ]
Bezaire, Meghan [3 ]
Costello, Briana [4 ,5 ]
Gomez, Joanne Michelle D. [6 ]
Hoover, Valerie [7 ]
Nazir, Noreen T. [8 ]
Nichols, Katherine [9 ]
Reisenberg, Amy [10 ]
Rao, Anupama [11 ]
Sanghani, Rupa [3 ]
Tracy, Melissa [3 ]
Volgman, Annabelle Santos [3 ]
机构
[1] Stanford Univ, Div Cardiol, Womens Heart Hlth, Palo Alto, CA 94304 USA
[2] Loyola Univ, Div Cardiol, Womens Heart Hlth Ctr, Chicago, IL 60611 USA
[3] Rush Univ, Med Ctr, Div Cardiol, Rush Heart Ctr Women, Chicago, IL 60612 USA
[4] Texas Heart Inst, Ctr Womens Heart & Vasc Hlth, Houston, TX 77025 USA
[5] Baylor St Lukes Med Ctr Hosp, Houston, TX USA
[6] Cedars Sinai Med Ctr, Barbra Streisand Womens Heart Ctr, Los Angeles, CA 90048 USA
[7] Stanford Univ, Dept Psychol, Palo Alto, CA 94304 USA
[8] Univ Illinois, Dept Med, Div Cardiol, Chicago, IL USA
[9] Harvard Univ, Massachusetts Gen Hosp, Div Cardiol, Boston, MA USA
[10] Stanford Univ, Stanford Healthcare, Palo Alto, CA 94304 USA
[11] Rush Univ, Med Ctr, Div Cardiol, Chicago, IL 60612 USA
关键词
Myocardial infarction with non-obstructive coronary arteries (MINOCA); Ischemia with non-obstructive coronary arteries (INOCA); Multidisciplinary healthcare delivery; Sex differences in cardiovascular disease; Non-obstructive coronary artery disease; CORONARY-ARTERY-DISEASE; COGNITIVE-BEHAVIORAL THERAPY; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; CARDIOVASCULAR MAGNETIC-RESONANCE; POSTMENOPAUSAL ESTROGEN THERAPY; SUSPECTED MYOCARDIAL-ISCHEMIA; INSTITUTES-OF-HEALTH; LONG-TERM OUTCOMES; SEX-DIFFERENCES; NATIONAL-HEART;
D O I
10.1007/s11883-021-00956-x
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Purpose of Review Heart centers for women (HCW) were developed due to the rising cardiovascular morbidity and mortality in women in the United States in the early 1990s. Our review encompasses the epidemiology, risk factors, diagnostic strategies, treatments, and the role of HCW in managing women with ischemic heart disease (IHD). Recent Findings HCW use a multidisciplinary team to manage women with IHD. Due to the paucity of randomized controlled trials investigating various manifestations of IHD, some treatments are not evidence-based such as those for coronary microvascular dysfunction and spontaneous coronary artery dissection. Sex-specific risk factors have been identified and multimodality cardiac imaging is improving in diagnosing IHD in women. Treatments are being studied to help improve symptoms and outcomes in women with IHD. There has been progress in the care of women with IHD. HCW can be instrumental in treating women with IHD, doing research, and being a source of research study participants.
引用
收藏
页数:16
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