Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, Washington, DC, United States.
Nutr Metab Cardiovasc Dis. 2010 Jul;20(6):436-44. doi: 10.1016/j.numecd.2010.02.014. Epub 2010 Jul 1.
Coronary artery disease (CAD) has traditionally been thought of as a disease that predominantly affects men. Women, however, are more likely than men to die from a myocardial infarction (MI). In this article, the data on access to cardiovascular care, treatment of stable and unstable coronary disease, and outcomes in women undergoing percutaneous coronary intervention (PCI) will be reviewed. Despite increased awareness of heart disease in women, and improved outcomes after PCI, women with MI have more mortality and delays to treatment than men. Women with CAD have symptoms that differ from men with CAD. Improved understanding of the symptoms of CAD in women by patients and health care providers may improve treatment and outcomes in women with CAD.
冠状动脉疾病(CAD)传统上被认为是一种主要影响男性的疾病。然而,女性死于心肌梗死(MI)的可能性高于男性。本文将回顾女性接受经皮冠状动脉介入治疗(PCI)的心血管护理、稳定和不稳定冠心病治疗以及结局的数据。尽管女性对心脏病的认识有所提高,PCI 后的结果也有所改善,但女性 MI 的死亡率和治疗延迟都高于男性。患有 CAD 的女性的症状与男性不同。患者和医疗保健提供者对 CAD 症状的更好理解可能会改善 CAD 女性的治疗和结局。