ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Ischemic heart disease in women [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2010; 38(1): 41-49

Ischemic heart disease in women

Meral Kayıkçıoğlu
Ege University Faculty of Medicine, Department of Cardiology, Izmir, Turkey

Although cardiovascular (CV) disease is the leading cause of death in women, both the women and physician’s awareness on the prevalence and the prognosis of CV disease in women is not sufficient. Women have diffuse microvascular dysfunction rather than obstructive coronary artery disease (CAD). Therefore, in women “ischemic heart disease (IHD)” term is preferred to CAD. Despite the fact that the prevalence and the severity of anatomic CAD is lower in women that men, women have more symptom load, more functional loss, more expenses of health, and negative clinical outcomes. The frequent detection of normal coronaries in women with atypical but resistant symptoms, leads the physicians to misconception that these women have “no severe problem” or “no need for treatment”. Therefore, the diagnosis, treatment, and preventive initiatives of IHD are not properly applied in women. Moreover, as women are less represented in clinical trials, data on women are also not sufficient. This review is written to raise the awareness of physicians about the prevalence, prognosis, diagnostic methods and treatment alternatives of IHD in women.

Keywords: Woman, Ischemic heart disease, microvascular dysfunction, treatment, diagnostic methods

How to cite this article
Meral Kayıkçıoğlu. Ischemic heart disease in women. Turk Kardiyol Dern Ars. 2010; 38(1): 41-49

Corresponding Author: Meral Kayıkçıoğlu, Türkiye
Manuscript Language: Turkish

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