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Published on: September 22, 2023
Coronary Artery Disease in Women: A Comprehensive Appraisal
Nili Schamroth Pravda1,2, Orith Karny-Rahkovich1,2, Arthur Shiyovich1,2
1Department of Cardiology, Rabin Medical Center, Petach Tikva 49100, Israel.
Insights
Coronary artery disease (CAD) presents unique challenges for women, differing in cause, symptoms, and outcomes. This review emphasizes recognizing and addressing these sex-specific aspects of heart disease in women.
Area of Science:
- Cardiology
- Women's Health
- Sex Differences in Medicine
Background:
- Coronary artery disease (CAD) is a leading cause of mortality in women, yet its unique characteristics are often overlooked.
- Cardiovascular disease (CVD) and CAD exhibit distinct pathophysiology, clinical presentations, and outcomes between sexes.
- Under-recognition of sex differences in CAD contributes to disparities in diagnosis and treatment.
Purpose of the Study:
- To increase awareness of the significant burden of CAD in women.
- To elucidate the unique pathophysiological mechanisms of CAD specific to women.
- To provide a comprehensive overview of CAD in women, including risk factors, clinical manifestations, and disease spectrum.
Main Methods:
- This is a review article, synthesizing existing literature on CAD in women.
- The review focuses on sex-specific aspects of CAD, including pathophysiology and risk factors.
- It examines clinical presentations and the spectrum of obstructive and non-obstructive CAD in the female population.
Main Results:
- CAD in women involves distinct pathophysiological pathways compared to men.
- Both traditional and sex-specific cardiovascular risk factors play a crucial role in female CAD.
- Clinical presentation of CAD in women can be atypical, and the disease spectrum includes non-obstructive forms.
Conclusions:
- Highlighting the unique aspects of CAD in women is critical for improving cardiovascular care.
- Recognizing sex differences in CAD pathophysiology, risk factors, and presentation is essential for timely diagnosis and effective management.
- Further research and clinical attention are needed to address the specific burden of heart disease in women.
Abstract:
Coronary artery disease (CAD) is a significant cause of illness and death amongst women. The pathophysiology, manifestations, and outcomes of CVD and CAD differ between sexes. These sex differences remain under-recognized. The aim of this review is to highlight and raise awareness of the burden and unique aspects of CAD in women. It details the unique pathophysiology of CAD in women, cardiovascular risk factors in women (both traditional and sex-specific), the clinical presentation of CAD in women, and the range of disease in obstructive and non-obstructive CAD in women.
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