Department of Internal Medicine, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Division of Cardiology, University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Med Clin North Am. 2024 May;108(3):567-579. doi: 10.1016/j.mcna.2023.11.001. Epub 2023 Dec 23.
This review synthesizes the current understanding of ischemic heart disease in women, briefly discussing differences in risk factors, presentation, and treatment. We have underscored the unique clinical phenotype of IHD in women with a higher prevalence of ischemia with non-obstructive coronary arteries. Further research is needed to elucidate the complexities of ischemic heart disease in women, understand the discordance between ischemic burden and clinical symptoms, and optimize treatment strategies.
这篇综述综合了目前对女性缺血性心脏病的认识,简要讨论了风险因素、表现和治疗方面的差异。我们强调了女性缺血性心脏病独特的临床表型,即更常见的非阻塞性冠状动脉缺血。需要进一步研究来阐明女性缺血性心脏病的复杂性,理解缺血负担与临床症状之间的不匹配,并优化治疗策略。