Brezinka V
Zentrum für Herz- und Lungenrehabilitation Rijnlands Zeehospitium.
Z Kardiol. 1995 Feb;84(2):99-104.
Recent studies collected via Medline and Psychlit suggest that coronary heart disease is treated less aggressively in women than in men. Women have significantly less access to major diagnostic and therapeutic procedures such as thrombolytic therapy, coronary angiography, coronary angioplasty, and coronary artery bypass surgery. This holds for women with suspected coronary heart disease as well as for women with coronary heart disease documented by myocardial infarction or coronary angiography. Possible reasons for gender bias in the management of coronary heart disease are: 1) physicians may underestimate the prevalence of coronary heart disease in women, 2) because of the higher prevalence in men, physicians may consider coronary heart disease as more serious in men, 3) a general lack of knowledge concerning coronary heart disease in women, 4) physicians' perceptions of gender-specific differences in risks and benefits of certain procedures, 5) gender stereotypes of the physician, 6) presentation style of the patient.
通过医学在线数据库（Medline）和心理学文摘数据库（Psychlit）收集的近期研究表明，与男性相比，女性冠心病的治疗不够积极。女性获得诸如溶栓治疗、冠状动脉造影、冠状动脉成形术和冠状动脉搭桥手术等主要诊断和治疗程序的机会明显更少。这在疑似冠心病的女性以及经心肌梗死或冠状动脉造影确诊为冠心病的女性中均成立。冠心病治疗中存在性别偏见的可能原因如下：1）医生可能低估了女性冠心病的患病率；2）由于男性患病率较高，医生可能认为男性的冠心病更为严重；3）普遍缺乏对女性冠心病的了解；4）医生对某些程序风险和益处的性别差异的认知；5）医生的性别刻板印象；6）患者的表现方式。
