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Published on: August 13, 2019
Interventions for cardiovascular disease in women
Liliana Grinfeld1, Florencia Rolandi
1liliana.grinfeld@gmail.com
Insights
Cardiovascular disease is a major health issue for women. Despite safe and effective percutaneous coronary procedures, gender disparities in treatment and outcomes persist, highlighting potential inequalities in cardiovascular care for women.
Area of Science:
- Cardiology
- Women's Health
- Interventional Cardiology
Background:
- Cardiovascular disease (CVD) is the leading cause of death and morbidity in women.
- Percutaneous coronary procedures have advanced, proving safe and effective for both sexes.
- Reported gender disparities exist in the management and outcomes of coronary artery disease (CAD).
Purpose of the Study:
- To investigate gender disparities in the utilization of percutaneous coronary procedures for coronary artery disease.
- To explore potential factors contributing to treatment inequalities in women's cardiovascular care.
- To analyze the impact of treatment bias on cardiovascular event outcomes in women.
Main Methods:
- Review of existing literature on gender differences in interventional cardiology.
- Analysis of data on the incidence of cardiovascular events and procedural rates in men versus women.
- Exploration of patient, physician, biological, and evidence-based factors influencing treatment decisions.
Main Results:
- Significant gender disparities are reported in the use of percutaneous coronary procedures for CAD.
- Differences in cardiovascular event incidence between genders have been observed.
- Treatment inequalities may negatively affect patient outcomes.
Conclusions:
- Despite the efficacy of modern interventional cardiology, gender-based disparities in treatment access and outcomes for cardiovascular disease persist in women.
- Factors contributing to these disparities include patient preferences, physician bias, biological differences, and gaps in evidence-based medicine specific to women.
- Addressing these inequalities is crucial for improving cardiovascular health outcomes for women.
Abstract:
Cardiovascular disease represents the main health problem for women as it is the leading cause of death and morbidity. In recent years, technological advances and experience gained by surgeons and cardiologists has resulted in a significant improvement of percutaneous coronary procedures, which has been demonstrated to be safe and effective for both men and women. However, gender disparities in the management of coronary artery disease, specifically in the rate of use of these interventional procedures, as well as in the incidence of cardiovascular events have been reported. Treatment inequalities may also impact on outcomes. Possible reasons for treatment bias include a patient's preferences, a physician's decisions, biological and pathophysiological gender differences and inadequate evidence-based medicine among women.
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