Rosenfeld J A
Franklin Square Hospital Center, Baltimore, MD, USA.
Postgrad Med. 2000 May 15;107(6):111-6; quiz 156. doi: 10.3810/pgm.2000.5.15.1094.
For decades, coronary artery disease (CAD) was thought to be primarily a disease of middle-aged men, in whom most research was conducted. But CAD afflicts a diverse patient population, and a major subset of those patients--women--present special diagnostic and therapeutic challenges for the primary care physician. In this article, Dr Rosenfeld provides an overview of CAD in women and discusses its causes and risk factors, prevention strategies, and gender-specific characteristics. She also examines the effect of gender-biased research on the views of both patients and physicians.
几十年来,冠状动脉疾病(CAD)一直被认为主要是一种中年男性疾病,大多数研究都是针对他们开展的。但CAD困扰着各种各样的患者群体,其中一个主要的亚组——女性——给初级保健医生带来了特殊的诊断和治疗挑战。在本文中,罗森菲尔德博士概述了女性CAD,并讨论了其病因、风险因素、预防策略以及性别特异性特征。她还研究了存在性别偏见的研究对患者和医生观点的影响。