In women presenting with suspected ischemic chest pain, traditional risk factors like diabetes, high BMI, and dyslipidemia strongly correlate with angiographically proven CAD, which most commonly presents as single-vessel disease in the LAD.
Risk factor assessment may aid CAD evaluation in symptomatic women; leaves open whether targeted screening improves outcomes.
Coronary artery disease is the leading cause of morbidity and mortality among women as well as men in the industrialised world. Women represent 60 percent of those over the age of 65 years in the United States and more women than men have died of cardiovascular disease. Women and men with Acute Coronary Syndromes (ACS) have been found to have different clinical profiles and presentation with a smaller percentage of women than men presenting with ST-elevation MI, but more presenting with unstable angina. Women are more likely to die of first myocardial infarction, experience more long-term disability and have more comorbidities as presentations is later in life. Women also are less likely to undergo angioplasty or bypass surgery. Fewer women receive cardiac rehabilitation and medications. Hence the purpose of the study was to analyse the angiographile profile in relation to clinical presentation and risk factors. Aims and Objectives-To analyse the angiographic findings in relation to clinical presentation and risk factors.
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Ravi et al. (2018) studied this question.
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