An Update on Gender Disparities in Coronary Heart Disease Care

Tina Shah1, Nicolas Palaskas2, Ameera Ahmed2

  • 1Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, 77030, USA. ts13@bcm.edu.

Insights

Coronary heart disease (CHD) causes more deaths in women than cancer, yet remains underdiagnosed and undertreated. This review highlights gender disparities in CHD risk factors, treatments, and outcomes.

Area of Science:

  • Cardiology
  • Gender Medicine
  • Public Health

Background:

  • Coronary heart disease (CHD) is a leading cause of death in women, surpassing cancer.
  • Despite lower prevalence at younger ages, CHD risk in women increases with age.
  • Women experience worse clinical outcomes for cardiovascular diseases (CVD) compared to men.

Purpose of the Study:

  • To review current knowledge on gender disparities in coronary heart disease (CHD).
  • To update understanding of risk factor management, treatment, and outcomes in women with CHD.
  • To address the knowledge and awareness gap regarding CHD in women.

Main Methods:

  • Literature review of recent studies on gender differences in CHD.
  • Analysis of data on risk factor prevalence and management in men versus women.
  • Examination of treatment strategies and clinical outcomes for CHD in both genders.

Main Results:

  • Women are underdiagnosed and undertreated for CHD.
  • Significant gender disparities exist in the management of CHD risk factors.
  • Clinical outcomes, including mortality and reinfarction rates, are poorer in women.

Conclusions:

  • There is a critical need to improve awareness and understanding of CHD in women.
  • Addressing gender disparities in CHD diagnosis and treatment is essential for improving outcomes.
  • Further research is needed to fully elucidate and mitigate gender-specific aspects of coronary heart disease.

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