Prognostic Significance of Asymptomatic Myocardial Ischemia in Women vs. Men

被引:6
作者
Park, Ki E. [1 ]
Conti, C. Richard [1 ]
机构
[1] Univ Florida, Coll Med, Div Cardiovasc Med, Gainesville, FL 32610 USA
关键词
Silent; ischemia; prognosis; women; CORONARY-ARTERY-DISEASE; EMISSION COMPUTED-TOMOGRAPHY; ST-SEGMENT DEPRESSION; SILENT ISCHEMIA; PILOT ACIP; DAILY-LIFE; HIGH-RISK; EXERCISE ELECTROCARDIOGRAPHY; CIRCADIAN VARIATIONS; CARDIOVASCULAR RISK;
D O I
10.2174/1381612822666160506125732
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background: Silent myocardial ischemia is a recognized but suboptimally studied condition in patients with and without known coronary artery disease. Limited work has focused on the association between silent myocardial ischemia and future prognosis however the majority of these analyses have focused mostly on male cohorts. As signs and symptoms of myocardial ischemia are known to be different in women, it is important to discuss and highlight any differences in association between silent myocardial ischemia and adverse cardiovascular outcomes based on gender. Methods: The aim of this review is to summarize the current literature available discussing silent myocardial ischemia and potential gender differences. We searched English language studies on PUBMED and the Cochrane Database of Systematic Reviews from the database start dates to November 2015. Conclusion: As data on the presence of silent myocardial ischemia in women is limited, whether a differential association based on gender between this condition and cardiovascular prognosis remains unknown. Future studies should target women especially those without epicardial coronary disease and suspected coronary microvascular dysfunction.
引用
收藏
页码:3871 / 3876
页数:6
相关论文
共 59 条
[1]   Conflict of interest policies and disclosure requirements among European Society of Cardiology National Cardiovascular Journals [J].
Alfonso, Fernando ;
Timmis, Adam ;
Pinto, Fausto J. ;
Ambrosio, Giuseppe ;
Ector, Hugo ;
Kulakowski, Piotr ;
Vardas, Panos ;
Antoniades, L. ;
Ahmad, M. ;
Apetrei, E. ;
Arai, K. ;
Artigou, J.Y. ;
Aschermann, M. ;
Bohm, M. ;
Bolognese, L. ;
Bugiardini, R. ;
Cohen, A ;
Edes, I. ;
Elias, J. ;
Galeano, J. ;
Guarda, E. ;
Haouala, H. ;
Heras, M. ;
Höglund, C. ;
Huber, K. ;
Hulin, I. ;
Ivanusa, M. ;
Krittayaphong, R. ;
Kuo, C.T. ;
Lau, C.P. ;
Lyusov, V.A. ;
Marinskis, G. ;
Masic, I. ;
Marquez, M.F. ;
Felipe, L. ;
Mrochek, A. ;
Oganov, R.G. ;
Raev, D. ;
Rogava, M. ;
Rodevand, O. ;
Sansoy, V. ;
Shimokawa, H. ;
Shumakov, V.A. ;
Tajer, C.D. ;
van der Wall, E. ;
Stefanadis, C. ;
Videbaek, J. ;
Luscher, T.F. .
EUROPEAN HEART JOURNAL, 2012, 33 (05) :587-594
[2]  
Amer Diabet Assoc, 2013, DIABETES CARE, V36, pS67, DOI [10.2337/dc13-S067, 10.2337/dc11-S062, 10.2337/dc10-S011, 10.2337/dc10-S062, 10.2337/dc12-s064, 10.2337/dc11-S011, 10.2337/dc12-s011, 10.2337/dc14-S081, 10.2337/dc13-S011]
[3]  
[Anonymous], 1997, Am J Cardiol, V79, P134
[4]   CIRCADIAN VARIATIONS IN ISCHEMIC THRESHOLD AND THEIR RELATION TO THE OCCURRENCE OF ISCHEMIC EPISODES [J].
BENHORIN, J ;
BANAI, S ;
MORIEL, M ;
GAVISH, A ;
KEREN, A ;
STERN, S ;
TZIVONI, D .
CIRCULATION, 1993, 87 (03) :808-814
[5]   Silent myocardial ischemia [J].
Cohn, PF ;
Fox, KM ;
Daly, C .
CIRCULATION, 2003, 108 (10) :1263-1277
[6]   Silent Ischemia Clinical Relevance [J].
Conti, C. Richard ;
Bavry, Anthony A. ;
Petersen, John W. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2012, 59 (05) :435-441
[7]   Prognosis for coronary stenoses in patients with diabetes and silent myocardial ischemia [J].
Cosson, E ;
Guimfack, M ;
Paries, J ;
Paycha, F ;
Attali, JR ;
Valensi, P .
DIABETES CARE, 2003, 26 (04) :1313-1314
[8]   Asymptomatic cardiac ischemia pilot (ACIP) study two-year follow-up - Outcomes of patients randomized to initial strategies of medical therapy versus revascularization [J].
Davies, RF ;
Goldberg, AD ;
Forman, S ;
Pepine, CJ ;
Knatterud, GL ;
Geller, N ;
Sopko, G ;
Pratt, C ;
Deanfield, J ;
Conti, CR .
CIRCULATION, 1997, 95 (08) :2037-2043
[9]   PATHOPHYSIOLOGY OF SILENT-MYOCARDIAL-ISCHEMIA DURING DAILY LIFE - HEMODYNAMIC EVALUATION BY SIMULTANEOUS ELECTROCARDIOGRAPHIC AND BLOOD-PRESSURE MONITORING [J].
DEEDWANIA, PC ;
NELSON, JR .
CIRCULATION, 1990, 82 (04) :1296-1304
[10]   SILENT ISCHEMIA DURING DAILY LIFE IS AN INDEPENDENT PREDICTOR OF MORTALITY IN STABLE ANGINA [J].
DEEDWANIA, PC ;
CARBAJAL, EV .
CIRCULATION, 1990, 81 (03) :748-756