Effective diagnosis and management of coronary heart disease in women requires recognizing gender differences in presentation, such as atypical symptoms, and addressing gaps in primary prevention.
Recognizing atypical symptoms and prevention gaps in women may aid CHD care; leaves open whether sex-specific strategies improve outcomes.
Coronary heart disease (CHD) is the leading cause of death in men and women in the United States. The incidence of CHD during midlife is lower in women than men, but the gap narrows with each decade. Because women have a longer life span than men, the absolute numbers of CHD deaths are roughly equal. Effective diagnosis of CHD in women requires the recognition of gender differences in presentation and pathogenesis. Women present with atypical symptoms and are less likely to have adequate primary prevention. This article discusses the differences between men and women in CHD and examines the assessment, diagnosis, and clinical management of CHD in women.
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Anderson et al. (2001) studied this question.
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