Coronary revascularisation in women is associated with higher mortality compared to men, partly due to older age, more comorbidities, and smaller coronary arteries at presentation.
What are the gender differences in outcomes and clinical characteristics for women undergoing coronary revascularisation?
This review highlights that women undergoing coronary revascularization have higher mortality and more complex baseline characteristics than men, emphasizing the need for further evaluation of modern techniques in this population.
Coronary heart disease is the leading cause of death in men and women worldwide. It is still considered a disease of men and there has been little recognition of its importance in women. Gender differences exist in acute and chronic ischaemia in terms of clinical manifestations, investigations and treatment. There are clear gender differences in coronary revascularisation with a higher mortality seen in women. At the time a woman presents with coronary artery disease she is older and has more co-morbid factors. Furthermore, women have smaller coronary arteries making them more difficult to revascularise. In recent years there has been a general trend towards improved outcomes in women undergoing both surgical and percutaneous coronary intervention. The increasing use of drug eluting stents and adjunctive medical treatment as well as the use of off-pump bypass surgery needs further evaluation in terms of gender differences. This article reviews the current literature on coronary revascularisation in women.
Ghada Mikhail (Thu,) conducted a review in Coronary heart disease. Coronary revascularisation was evaluated. Coronary revascularisation in women is associated with higher mortality compared to men, partly due to older age, more comorbidities, and smaller coronary arteries at presentation.
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