Key result
Multimodal cardiac imaging improves assessment of women with IHD by accounting for sex-specific physiopathology.
Why the study?
Women have been largely excluded from cardiovascular research studies, despite sex differences in the physiopathology, epidemiology, clinical presentation, and management of ischemic heart disease.
This review emphasizes the importance of recognizing sex-specific features and utilizing appropriate multimodal cardiac imaging for the diagnosis and management of ischemic heart disease in women.
May support sex-specific imaging strategies in women with IHD; leaves open prospective validation before practice change.
Cardiac diseases are the main cause of death for both sexes worldwide. Treatment varies widely according to the sex of a patient, as there are differences in physiopathology, epidemiology, clinical presentation and management. However, women have been largely excluded from research studies in this field. At present, differences are starting to be recognized and more attention is being paid to the identification of female-specific (or emergent) atherosclerotic risk factors. Diagnostic testing also merits attention because cardiac imaging offers important information to help diagnosis and guide cardiac disease management. In this sense, multimodal imaging should be used with the most cost-effective approach, integrating this information into the clinical sphere according to the pretest probability of the disease. In this review, we address sex-specific features of ischemic heart disease that should be considered in the clinical assessment of women, as well as the value of different imaging techniques (including technical and clinical aspects) for management of women with ischemic heart disease, and identify future areas of action concerning ischemic heart disease in women.
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Amalia Peix (2023) conducted a review in Ischemic heart disease in women. Cardiac imaging was evaluated. Multimodal cardiac imaging should be integrated into the clinical assessment of women with ischemic heart disease to account for sex-specific physiopathology and clinical presentation.
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