Sex-Specific Considerations in the Presentation, Diagnosis, and Management of Ischemic Heart Disease JACC Focus Seminar 2/7

被引：48

作者：

Nussbaum, Sade Solola ^{[1
]}

Henry, Sonia ^{[2
]}

Yong, Celina Mei ^{[3
]}

Daugherty, Stacie L. ^{[4
]}

Mehran, Roxana ^{[5
]}

Poppas, Athena ^{[1
]}

机构：

[1] Brown Univ, Div Cardiol, Dept Med, Warren Alpert Med Sch, Providence, RI 02903 USA

[2] North Shore Univ Hosp, Hofstra Norwell, Zucker Sch Med, Dept Cardiol, Manhasset, NY USA

[3] Stanford Univ, Dept Med, Div Cardiol, Med Ctr, Palo Alto, CA USA

[4] Univ Colorado, Div Cardiol, Sch Med, Aurora, CO USA

[5] Icahn Sch Med Mt Sinai, New York, NY 10029 USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2022年 / 79卷 / 14期

关键词：

coronary artery disease; ischemic heart disease; sex differences; women; PERCUTANEOUS CORONARY INTERVENTION; CARDIOVASCULAR CLINICAL-TRIALS; ASSOCIATION TASK-FORCE; ARTERY CALCIUM SCORES; BYPASS GRAFT-SURGERY; MYOCARDIAL-INFARCTION; GENDER-DIFFERENCES; AMERICAN-COLLEGE; YOUNG-PATIENTS; PRACTICE GUIDELINES;

D O I：

10.1016/j.jacc.2021.11.065

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

There are sex-related differences in the epidemiology, presentation, diagnostic testing, and management of ischemic heart disease in women compared with men. The adjusted morbidity and mortality are persistently higher, particularly in younger women and Blacks. Women have more angina but less obstructive coronary artery disease, which affects delays in presentation and diagnosis and testing accuracy. The nonbiological factors play a significant role in access to care, ischemic heart disease management, and guideline adherence. Future research focus includes sex-specific outcomes, characterization of the biological differences, and implementation science around quality of clinical care. (C) 2022 by the American College of Cardiology Foundation.

引用

页码：1398 / 1406

页数：9

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