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Published on: August 9, 2024
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.
Abstract:
Coronary heart disease (CHD), traditionally considered a male disease, causes far more deaths in women than cancer. The prevalence of CHD is lower in women at any age, but with advancing age, this differential decreases. The clinical outcomes including myocardial infarction mortality, all-cause mortality, and reinfarction rates are also worse in women with cardiovascular diseases (CVD) than in men. Yet, women appear to be underdiagnosed and undertreated for coronary heart disease. There is still a gap in the knowledge, understanding, and general awareness of CHD in women. This review provides updates in gender disparities in the management of risk factors, treatments, and outcomes of coronary heart disease.
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