Coronary revascularization in women.

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Cardiac Surgery

Background:

• Historically, higher mortality rates in women undergoing percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG).
• Recent data suggests a narrowing gender gap in cardiovascular procedure outcomes.
• Need for updated review of outcomes considering recent evidence.

Purpose of the Study:

• To review revascularization outcomes (PCI and CABG) in women across various ischemic heart conditions.
• To analyze recent studies and registries on gender differences in cardiovascular procedures.
• To assess the current status of outcomes for women undergoing PCI and CABG.

Main Methods:

• Review of recent clinical studies and large-scale registries.
• Analysis of outcomes for women undergoing PCI and CABG.
• Stratification by ischemic heart disease type: stable angina (SA), unstable angina (UA), NSTEMI, STEMI.

Main Results:

• Recent data indicate similar mortality rates for women and men after PCI and CABG when adjusted for age and comorbidities.
• The gender gap in outcomes for PCI and CABG is diminishing.
• Outcomes for women with SA, UA, NSTEMI, and STEMI are improving.

Conclusions:

• The historical disparity in mortality for women undergoing PCI and CABG is decreasing.
• Current evidence suggests comparable outcomes between genders after risk adjustment.
• Continued monitoring of gender-specific outcomes in cardiovascular interventions is warranted.