女性心血管疾病预防、诊断和治疗的最新进展。

Updates in Cardiovascular Disease Prevention, Diagnosis, and Treatment in Women.

机构信息

Division of General Internal Medicine, University of Pittsburgh Medical Center, Montefiore Hospital, 933 West, 200 Lothrop Street, Pittsburgh, PA 15213, USA.

Warren Alpert School of Medicine of Brown University, Rhode Island Hospital, Women's Health, VHA Central Office, 64 Caswell Street, Narragansett, RI 02882, USA.

出版信息

Med Clin North Am. 2023 Mar;107(2):285-298. doi: 10.1016/j.mcna.2022.10.008.

DOI:10.1016/j.mcna.2022.10.008

PMID:36759098

Abstract

Cardiovascular disease (CVD) is the leading cause of death for American women. CVD is preventable although risk reduction goals are not achieved for women compared with men. Considering a woman's cardiometabolic profile for prevention counseling and prescribing may help. Coronary artery calcium scores provide additional risk assessment and reproductive and menopause histories identify risk enhancers. Diagnosis of CVD is often delayed, and treatment is less optimal for women compared with men. Differences in presentation and underlying CVD etiology (Including spontaneous coronary artery dissection and microvascular disease) may partially account for these disparities. Improvements in CVD imaging to better diagnose these etiologies may benefit women's care.

摘要

心血管疾病（CVD）是美国女性的主要死因。尽管与男性相比，女性的风险降低目标尚未实现，但 CVD 是可以预防的。考虑到女性的心脏代谢特征，进行预防咨询和处方可能会有所帮助。冠状动脉钙评分可提供额外的风险评估，生殖和绝经史可确定风险增强因素。与男性相比，女性 CVD 的诊断往往延迟，治疗效果也较差。临床表现和潜在 CVD 病因（包括自发性冠状动脉夹层和微血管疾病）的差异可能部分解释了这些差异。改善 CVD 成像以更好地诊断这些病因可能会有益于女性的治疗。