Yamauchi-Takihara Keiko
Nihon Rinsho. 2015 Apr;73(4):625-8.
Although significant advances in our knowledge about interventions to prevent and treat ischemic heart disease (IHD) have occurred, there are many differences between women and men in the symptom and pathophysiology of IHD. As IHD is one of the most prominent disease areas that gender difference exist; chest pain is not typical, sometimes angiography shows normal coronary, and poor prognosis because of delayed diagnosis in association with many risk factors in women. Smoking is the # 1 risk factor for the onset of acute myocardial infarction in women, whereas hypertension is the #1 risk in men. Overwhelming evidence suggests that IHD can be prevented in both women and men, however, much attention should be paid for female natients with IHD.
尽管我们在预防和治疗缺血性心脏病(IHD)的干预措施方面取得了重大进展,但IHD在症状和病理生理学方面存在许多性别差异。由于IHD是存在性别差异的最突出疾病领域之一;胸痛不典型,有时血管造影显示冠状动脉正常,并且由于女性存在多种风险因素导致诊断延迟,预后较差。吸烟是女性急性心肌梗死发病的首要风险因素,而高血压是男性的首要风险因素。大量证据表明,IHD在男性和女性中都可以预防,然而,对于患有IHD的女性患者应给予更多关注。