Angina symptoms in men and women with stable coronary artery disease and evidence of exercise-induced myocardial perfusion defects

DʼAntono, Bianca; Dupuis, Gilles; Fortin, Christophe; Arsenault, André; Burelle, Denis

doi:10.1016/j.ahj.2005.06.028

Cited by 27 publications

(23 citation statements)

References 40 publications

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“…Women are less likely to present with typical angina, more likely to use different terms to describe their symptoms, and more likely to have more nonpain-related symptoms in addition to chest pain than men [10]. However, the definition of typical anginal symptoms was determined in a male cohort, and we may need a new set of contemporary definitions for women.…”

Section: Clinical Presentationmentioning

confidence: 98%

Sex Differences in Percutaneous Coronary Interventions

Lokhandwala

Skelding

2009

J. of Cardiovasc. Trans. Res.

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Cardiovascular disease is the leading cause of mortality in women, and women have a higher cardiovascular mortality and morbidity associated with the treatment of cardiovascular disease compared to men. Percutaneous coronary intervention (PCI) is an important therapy for women with coronary artery disease particularly in acute coronary syndromes; however, only 33% of all PCIs are performed in women. The purpose of this review is to evaluate the evidence for PCI in women and demonstrate the unique aspects of therapy in regard to sex.

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Section: Clinical Presentationmentioning

confidence: 98%

Sex Differences in Percutaneous Coronary Interventions

Lokhandwala

Skelding

2009

J. of Cardiovasc. Trans. Res.

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“…In a prospective study of men and women with angina and ischemia at exercise myocardial perfusion imaging [12], women rated their anginal pain more intense than men and more often described their pain as throbbing, sharp hot, burning, fearful, and pressing. Women more often reported neck pain.…”

Section: Descriptors Of Chronic Stable Angina In Womenmentioning

confidence: 98%

Angina in Women

Wenger

2010

Curr Cardiol Rep

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Angina pectoris, the pain of myocardial ischemia, is the major initial and subsequent presentation of coronary disease in women. Angina in women is associated with more adverse morbidity, mortality, and quality-of-life outcomes than for men, despite women having less obstructive coronary artery disease and better left ventricular function. Women with chest pain and myocardial ischemia, in the absence of significant obstructive disease of the coronary arteries, have prominent morbidity and mortality outcomes; the postulated mechanism is microvascular disease. Women also have more non-chest pain manifestations of myocardial ischemia than men. These variables must be incorporated in assessments of optimal diagnostic and therapeutic strategies for myocardial ischemia in women.

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“…Our recent study (4) addressed these elements but a concern remains that investigations have performed analyses only on patients with documented acute coronary syndromes (ACS) (usually, unstable angina and/or myocardial infarction [MI]). Sex differences in symptoms among these samples have been presumed to suggest sex differences in symptoms of CAD.…”

Section: Principales Mesures D'issues : Les Mesures D'issues Incluent Lementioning

confidence: 99%