Porter Avital
Cardiology Unit (intermediate) and the Women's Heart Clinic, Rabin Medical Center - Beilinson and Tel Aviv University.
Harefuah. 2017 Apr;156(4):246-249.
Cardiovascular disease (CVD) is the leading cause of death in the western world, in both genders. Although awareness of the importance of prevention, diagnosis and optimal treatment of CVD has risen in general, most women are not fully aware of their CVD risk. Moreover, women are not alert to the burden of risk in their reproductive years (e.g. complicated pregnancy and/or peri-menopausal period) and their impact on future CVD. Unique Female issues such as: fertile age, menopause, oral contraceptives, hormonal and metabolic disorders during pregnancy, labor, as well as psychological matters, and healthy life-style are major contributors to primary and secondary prevention of CVD. Moreover, aspects such as clinical course features, symptoms, main pathogenetic mechanisms and the effects of pharmaceutical substances have been proven to be gender-specific.
心血管疾病（CVD）是西方世界男女死亡的主要原因。尽管总体上人们对心血管疾病预防、诊断和最佳治疗的重要性的认识有所提高，但大多数女性并未充分意识到自己患心血管疾病的风险。此外，女性对其生育期（如复杂妊娠和/或围绝经期）的风险负担及其对未来心血管疾病的影响并不警觉。独特的女性问题，如育龄、更年期、口服避孕药、孕期、分娩期间的激素和代谢紊乱，以及心理问题和健康的生活方式，是心血管疾病一级和二级预防的主要因素。此外，临床病程特征、症状、主要发病机制和药物作用等方面已被证明具有性别特异性。
