Bhakta Mayurkumar D, Mookadam Farouk, Wilansky Susan
Department of Cardiology, Mayo Clinic Arizona, 13400 E. Shea Blvd, Scottsdale, AZ 85259, USA.
Future Cardiol. 2011 Sep;7(5):613-27. doi: 10.2217/fca.11.30.
Cardiovascular disease remains the leading cause of mortality in women despite advances in treatment strategies. Challenges currently exist when making the diagnosis of coronary artery disease. Equitable treatment of women once the disease has been identified is a further conundrum. Observational data have helped to identify those women at a higher risk of mortality and morbidity attributable to coronary artery disease. Interpretation of individual risk factors differs between the genders. Treatment may also differ depending on appropriate proper risk stratification, using newer models that take into account gender differences. Outcomes can be improved with the proper use of existing risk stratification tools.
尽管治疗策略有所进步,但心血管疾病仍是女性死亡的主要原因。目前在诊断冠状动脉疾病时存在挑战。疾病确诊后,对女性进行公平治疗是另一个难题。观察性数据有助于识别那些因冠状动脉疾病而死亡和发病风险较高的女性。个体风险因素在不同性别之间的解读存在差异。根据适当的风险分层进行治疗也可能不同,可使用考虑到性别差异的更新模型。正确使用现有的风险分层工具可以改善治疗效果。