A case study approach to evaluation of cardiac disease in women

Women rarely consider coronary heart disease as a health concern despite the fact that it is the leading cause of death in women in the United States. We have just recently begun to appreciate the gender and age differences related to coronary heart disease presentation and management in women. Management challenges often relate to the unusual or atypical disease presentation and course, and are frequently misunderstood by the practicing clinician. Comorbidities and prevention strategies in the female patient must be carefully considered. Early risk reduction and counseling should be incorporated into every well-woman exam so that women receive the timely and appropriate care they need and deserve.