Wenger N K
Annu Rev Med. 1985;36:285-94. doi: 10.1146/annurev.me.36.020185.001441.
Myocardial infarction is uncommon in younger women in the absence of coronary risk factors; cigarette smoking and diabetes mellitus are major contributors to coronary risk. The presentation of coronary disease in women is more likely to be angina pectoris than myocardial infarction or sudden death. Myocardial infarction in women is characterized by increased morbidity and mortality, an excess of congestive heart failure, and a less favorable response to coronary bypass surgery. Psychosocial complications are greater and return to work is less likely.
在没有冠状动脉危险因素的情况下，心肌梗死在年轻女性中并不常见；吸烟和糖尿病是冠状动脉风险的主要促成因素。女性冠心病的表现更可能是心绞痛，而不是心肌梗死或猝死。女性心肌梗死的特点是发病率和死亡率增加、充血性心力衰竭过多，以及对冠状动脉搭桥手术的反应较差。心理社会并发症更多，重返工作岗位的可能性更小。
