Piwowarska W, Zylińska M
Kliniki Choroby Wieńcowej Instytutu Kardiologii Akademii Medycznej im. M. Kopernika, Krakowie.
Folia Med Cracov. 1991;32(1-2):43-56.
Ischemic heart disease (IHD) with its most developed manifestation in the form of myocardial infarction (MI) shows certain differences in the clinical picture between men and women. Pathogenetic differences in the development of IHD between both sexes, protective effects of estrogens, genetic factors and physiology of the sex cycle in women were analyzed. Clinical significance of the selected coronary risk factors including the role of oral contraceptive agents, nicotine, arterial hypertension and professional work were discussed. We made an attempt at specifying reasons for the observed differences and determinants of an increase in morbidity due to IHD in women. The validity of present recommendations for women with the risk for the development of IHD and MI was evaluated.
缺血性心脏病（IHD）以心肌梗死（MI）为最典型表现，在男女临床表现上存在一定差异。分析了两性IHD发病机制的差异、雌激素的保护作用、遗传因素以及女性性周期的生理特点。讨论了所选冠状动脉危险因素的临床意义，包括口服避孕药、尼古丁、动脉高血压和职业工作的作用。我们试图明确观察到的差异的原因以及女性IHD发病率增加的决定因素。评估了当前针对有IHD和MI发病风险女性的建议的有效性。
