Document Detail


Sex differences in response to treatments for chronic coronary artery disease.
MedLine Citation:
PMID:  19898277     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
More women than men die of coronary artery disease (CAD) each year. In women, cardiovascular disease can present atypically and may be caused by small vessel disease rather than by major epicardial coronary luminal narrowing. Women with CAD tend to have more diffuse disease, endothelial dysfunction, and microvascular disease than men. In those studies that have looked at sex differences in treatment response, sex-specific physiologic, pharmacokinetic, and pharmacodynamic differences appear to be the cause. Women have smaller hearts, higher heart rates, shorter cardiac cycle lengths, and longer QT intervals than men. CAD medical treatments such as antiplatelet agents, anticoagulants, beta-blockers, and antithrombin agents may have different effects in women and men. Only 30% of percutaneous coronary interventions are performed in women. Women are less likely than men to undergo diagnostic angiography and are more likely to experience delays in treatment.
Authors:
Molly Szerlip; Cindy L Grines
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Reviews in cardiovascular medicine     Volume:  10 Suppl 2     ISSN:  1530-6550     ISO Abbreviation:  Rev Cardiovasc Med     Publication Date:  2009  
Date Detail:
Created Date:  2009-11-09     Completed Date:  2010-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960007     Medline TA:  Rev Cardiovasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S14-23     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Medicine, William Beaumont Hospital, Royal Oak, MI, USA.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon, Coronary*
Cardiovascular Agents / therapeutic use*
Coronary Artery Bypass*
Coronary Artery Disease / diagnosis,  therapy*
Evidence-Based Medicine
Female
Health Status Disparities
Healthcare Disparities
Humans
Male
Sex Factors
Treatment Outcome
Women's Health
Chemical
Reg. No./Substance:
0/Cardiovascular Agents

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


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