Document Detail


Percutaneous coronary intervention vs. medical therapy: what are the implications for women?
MedLine Citation:
PMID:  12150497     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There have been eight major studies assessing percutaneous coronary intervention (PCI) vs. medical therapy in the past 10 years. Women were inadequately represented in many of these studies, but because of similar long-term survival curves in women and men, most of the PCI data can be applied to women until more trials are published. According to currently available data, PCI offers greater angina relief and improvement in exercise tolerance than medicine alone, but has a greater risk of procedure-related complications in women. As a result of the rapid advancement of cardiovascular therapy, many of these studies did not incorporate optimal medical therapy or current PCI therapies. It is likely that for most patients (including women) with moderate angina, the best management may be a combination of PCI, medical therapy, and lifestyle changes.
Authors:
Megan Rist Haymart; Timm Dickfeld; Caitlin Nass; Roger S Blumenthal
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Journal of women's health & gender-based medicine     Volume:  11     ISSN:  1524-6094     ISO Abbreviation:  J Womens Health Gend Based Med     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-08-01     Completed Date:  2002-11-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100888719     Medline TA:  J Womens Health Gend Based Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  347-55     Citation Subset:  IM    
Affiliation:
The Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Department of Internal Medicine, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary*
Anti-Arrhythmia Agents / therapeutic use
Anticoagulants / therapeutic use
Calcium Channel Blockers / therapeutic use
Cardiac Surgical Procedures
Coronary Artery Disease / mortality,  therapy*
Female
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
Male
Randomized Controlled Trials as Topic
Sex Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents; 0/Anticoagulants; 0/Calcium Channel Blockers; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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