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October 20, 2001Swiss Medical WeeklyOpen Access

Gender differences in coronary artery size per 100 g of left ventricular mass in a population without cardiac disease

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Key result

In a population without cardiac disease, women had significantly smaller left main coronary artery cross-sectional areas even after normalization for left ventricular mass compared to men.

Why the study?

Are there gender differences in coronary artery size normalized for left ventricular mass in individuals without cardiac disease?

Population

200 individuals without cardiac disease and with normal Doppler echocardiography, mean age 44 +/- 15 years…

Design

Cross-sectional

Discussion

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Overview

May inform sex-specific CAD risk models; leaves open whether size thresholds alter management in women.

Study Design

Type

Cross-Sectional (n=200)

Blinding

Single-blind

Multicenter

No

Structured PICO

Are there gender differences in coronary artery size normalized for left ventricular mass in individuals without cardiac disease?

P
Population
200 individuals (100 women, 100 men) without cardiac disease and with normal Doppler echocardiography, evaluated for gender differences in coronary artery size.
O
Outcome
Left main (LCA) and right coronary artery (RCA) size normalized for left ventricular (LV) masssurrogate

Main Result

Absolute Event Rate: 7% vs 9%

p-value: p=<0.0001

Women without cardiac disease have intrinsically smaller coronary arteries than men, even after accounting for differences in left ventricular mass, which may contribute to gender-specific risks in coronary artery disease.

Limitations

  • Reduced lateral resolution for the measurement of horizontal distances using transoesophageal echocardiography, particularly for the right coronary artery.
  • Errors in the measurement of dimensions are increased by a power of two when calculating cross-sectional area.
  • Incidence of asymptomatic coronary artery lesions could have been larger than expected due to the presence of cardiovascular risk factors and cerebrovascular disease.
  • Image magnification did not improve the accuracy of coronary artery caliber measurement in individuals with poor vessel delineation.

Cite This Study

A 2001 study conducted a cross-sectional in Without cardiac disease (n=200). Female gender vs. Male gender was evaluated on Left main coronary artery cross-sectional area normalized for left ventricular mass (mm2/100 g) (p=<0.0001). In a population without cardiac disease, women had significantly smaller left main coronary artery cross-sectional areas even after normalization for left ventricular mass compared to men.

synapsesocial.com/papers/6a9314e99a1ecb5ecdb3b58fhttps://doi.org/10.4414/smw.2001.09829

Topics

Women and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Standardization of M-mode echocardiographic left ventricular anatomic measurements1984 · 748 citations
  2. 2Gender differences in the treatment of patients with acute myocardial infarction. A multihospital, community-based perspective1993 · 75 citations
  3. 3Sex-Based Differences in Early Mortality after Myocardial Infarction1999 · 1,310 citations
  4. 4Cross-sectional area of the proximal portions of the three major epicardial coronary arteries in 98 necropsy patients with different coronary events. Relationship to heart weight, age and sex.1980 · 120 citations
  5. 5Regional myocardial volume perfused by the coronary artery branch: estimation in vivo.1986 · 65 citations