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Published on: December 9, 2013
Recent development of ischaemic heart disease in sex difference
Insights
Ischaemic heart disease (IHD) affects both sexes, with rising incidence due to lifestyle factors. This review examines sex-specific differences in IHD presentation, evaluation, and outcomes, incorporating new findings.
Area of Science:
- Cardiology
- Public Health
- Sex-Specific Medicine
Background:
- Coronary heart disease remains a leading global cause of death and disability.
- Increasing survival rates of myocardial infarction, revascularization, and heart failure.
- Rising global prevalence of cardiovascular risk factors including smoking, obesity, hypertension, and metabolic syndrome.
Purpose of the Study:
- To review sex-specific aspects of ischaemic heart disease (IHD) presentation, evaluation, and outcomes.
- To incorporate recent findings, particularly from the Women's Ischemia Syndrome Evaluation study.
- To discuss traditional and novel risk markers and sex-based differences in diagnostic approaches.
Main Methods:
- Comprehensive literature review focusing on sex-specific differences in IHD.
- Inclusion of data and findings from the Women's Ischemia Syndrome Evaluation study.
- Analysis of traditional and novel risk markers and diagnostic strategies.
Main Results:
- Highlights significant sex-specific variations in how IHD manifests and is diagnosed.
- Presents new evidence on risk markers and their differential impact across sexes.
- Discusses disparities in evaluation and treatment outcomes between men and women.
Conclusions:
- Acknowledges the growing incidence of IHD in both men and women.
- Emphasizes the critical need to address sex-specific issues in IHD management.
- Underscores the importance of tailored diagnostic and therapeutic strategies for improved patient outcomes.
Abstract:
Despite a dramatic decline in mortality over the past years, coronary heart disease is the leading cause of death and disability in the world. At the same time, with the great improvement of medical science, there is a growing population of postmyocardial infarction, postrevascularisation and heart failure survivors. Furthermore, there are rising rates of cigarette smoking, obesity, hypertension and the metabolic syndrome in the world. All the above contribute to the rising incidence rates of ischaemic heart disease (IHD) among women and men. This review highlights sex-specific issues in IHD presentation, evaluation and outcomes, with several new results published from the Women's Ischemia Syndrome Evaluation study. New evidence on traditional and novel risk markers as well as sex-specific differences in symptoms and diagnostic approaches have also been discussed.
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