Key result
Coronary artery disease in women most commonly presents as angina, and while initial infarction is less common than in men, it is more likely to be fatal.
This review highlights the unique presentation and prognosis of CAD in women, emphasizing that therapeutic approaches should not differ from men and focusing on preventive strategies.
Supports equivalent CAD therapy across sexes; leaves open whether sex-specific prevention reduces female mortality.
Various risk factors, such as smoking and diabetes, have an adverse effect on women's inherent biological protection from coronary artery disease (CAD). In women, CAD is most likely to present as angina. Although infarction as the initial event is less common in women than in men, it is more likely to be fatal. The prognosis for women with diabetes and CAD is especially poor. Differences in the therapeutic approach to CAD in men and women do not appear justified. Preventive strategies for women center around cessation of smoking, aspirin therapy, diet modification, and estrogen therapy.
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Vidya S. Banka (1992) conducted a review in Coronary artery disease. Coronary artery disease in women most commonly presents as angina, and while initial infarction is less common than in men, it is more likely to be fatal.
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