Test Selection for Women with Suspected Stable Ischemic Heart Disease

被引:3
作者
Reynolds, Harmony R. [1 ]
Hausvater, Anais [1 ]
Carney, Kerrilynn [1 ]
机构
[1] NYU, Sch Med, Soter Ctr Womens Cardiovasc Res, Leon H Charney Div Cardiol,Dept Med, 530 First Ave,Suite 9R, New York, NY 10016 USA
关键词
noninvasive stress testing; coronary computed tomographic angiography; stable ischemic heart disease; ischemia; women; CORONARY-ARTERY-DISEASE; FRACTIONAL FLOW RESERVE; INCREMENTAL PROGNOSTIC VALUE; ACUTE MYOCARDIAL-INFARCTION; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; VENTRICULAR EJECTION FRACTION; CARDIAC SYNDROME-X; 5-YEAR FOLLOW-UP; SEX-DIFFERENCES; MICROVASCULAR DYSFUNCTION;
D O I
10.1089/jwh.2017.6587
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Ischemic heart disease (IHD) is the leading cause of death and disability among women in the United States. Identifying IHD in women presenting with stable symptoms and stratifying their risk for an IHD event can be challenging for providers, with several different tests available. This article is meant to serve as a practical guide for clinicians treating women with potentially ischemic symptoms. Evidence and American Heart Association (AHA) recommendations regarding test selection are reviewed, with a focus on the information to be gained from each test. We outline suggested courses of action to be taken in the case of a positive or negative test. Regardless of the initial test result, clinicians should view a woman's symptom presentation as an opportunity to review and modify her risk of cardiovascular events.
引用
收藏
页码:867 / 874
页数:8
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