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Diagnosing and characterizing coronary artery disease in women: developments in noninvasive and invasive imaging
Vivian G Ng1, Stephanie Meller, Suchith Shetty
1Yale University School of Medicine, P.O. Box 208017, New Haven, CT, 06520-8017, USA.
Insights
Coronary artery disease (CAD) is underdiagnosed in women. This review explores advanced imaging techniques to improve CAD diagnosis and understand gender-specific differences in women.
Area of Science:
- Cardiology
- Medical Imaging
- Women's Health
Background:
- Cardiovascular disease is a leading cause of death in the USA.
- Coronary artery disease (CAD) is often underrecognized and underdiagnosed in women.
- Gender-specific differences in CAD development and presentation are increasingly recognized.
Purpose of the Study:
- To review current noninvasive and invasive imaging techniques for assessing CAD.
- To elucidate the impact of gender on the interpretation and accuracy of cardiac imaging studies.
- To enhance the understanding of CAD pathophysiology and progression in women using novel imaging methods.
Main Methods:
- Review of current literature on cardiovascular imaging modalities.
- Analysis of studies investigating gender differences in CAD assessment.
- Discussion of the application of advanced imaging in diagnosing and understanding CAD in women.
Main Results:
- Emerging imaging techniques offer improved accuracy in CAD assessment.
- Gender influences the interpretation and diagnostic performance of various imaging modalities.
- Imaging reveals distinct patterns in CAD pathophysiology and progression between genders.
Conclusions:
- Advanced imaging techniques are crucial for accurate CAD diagnosis in women.
- Understanding gender-specific nuances in CAD is essential for effective clinical management.
- Further research into sex-based differences in cardiovascular imaging is warranted.
Abstract:
Cardiovascular disease is the leading cause of death in men and women in the USA; yet, coronary artery disease (CAD) continues to be underrecognized and underdiagnosed in women. Noninvasive and invasive imaging techniques are constantly being developed in order to more accurately assess CAD. At the same time, the impact of gender on the interpretation and accuracy of these studies is still being elucidated. Furthermore, new imaging techniques have improved our understanding of CAD pathophysiology and progression and have begun to reveal gender differences in the development of CAD. This article will review current imaging techniques and their application to diagnosing and understanding CAD in women.
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