“…Women who have a surgical, early menopause and who do not receive hormone replacement therapy (HRT) are at particular risk of coronary heart disease. 2 Two recent articles in the New England Journal of Medicine this year 3 .• suggest that women receive fewer investigations and less aggressive medical management than men do when they present with symptoms of coronary heart disease. Such a sex bias may reflect a lack of understanding by physicians that after the menopause women are no longer protected from the risks of coronary heart disease and eventually have the same incidence of cardiovascular disease as men.…”