女性冠状动脉疾病：综合评估

Schamroth Pravda Nili, Karny-Rahkovich Orith, Shiyovich Arthur, Schamroth Pravda Miri, Rapeport Naomi, Vaknin-Assa Hana, Eisen Alon, Kornowski Ran, Porter Avital

Department of Cardiology, Rabin Medical Center, Petach Tikva 49100, Israel.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 39040, Israel.

J Clin Med. 2021 Oct 12;10(20):4664. doi: 10.3390/jcm10204664.

Coronary artery disease (CAD) is a significant cause of illness and death amongst women. The pathophysiology, manifestations, and outcomes of CVD and CAD differ between sexes. These sex differences remain under-recognized. The aim of this review is to highlight and raise awareness of the burden and unique aspects of CAD in women. It details the unique pathophysiology of CAD in women, cardiovascular risk factors in women (both traditional and sex-specific), the clinical presentation of CAD in women, and the range of disease in obstructive and non-obstructive CAD in women.

冠状动脉疾病（CAD）是女性患病和死亡的重要原因。心血管疾病（CVD）和CAD的病理生理学、表现及结果存在性别差异。这些性别差异仍未得到充分认识。本综述的目的是强调并提高人们对女性CAD负担及独特方面的认识。它详细阐述了女性CAD独特的病理生理学、女性心血管危险因素（包括传统因素和性别特异性因素）、女性CAD的临床表现，以及女性阻塞性和非阻塞性CAD的疾病范围。