Key result
Stress SPECT and echo effectively diagnose and risk-stratify symptomatic women at risk for IHD.
Why the study?
Detection and evaluation of physiologically significant CAD in women is challenging due to lower prevalence of obstructive disease and limitations of traditional tests.
This review discusses the role and challenges of contemporary cardiovascular imaging techniques in evaluating ischemic heart disease in women.
Sex-specific CAD factors may refine detection in women; extends understanding but leaves open effects on outcomes.
Significant progress in research has been made in the areas of sex-specific aspects of cardiovascular disease. Despite these advances, coronary artery disease (CAD) is the leading cause of death of women in the Western world. Over the past decade, the focused research on women at risk for ischemic heart disease has helped to clarify our understanding of some of the sex-specific factors, which are important in detecting CAD. In women, the detection and evaluation of physiologically significant CAD is challenging, especially given that traditional tests designed to detect focal areas of coronary artery stenosis are less sensitive and specific in female patients who have a lower prevalence of obstructive coronary disease, greater burden of symptoms, and a high atherosclerotic burden. In this article, we review the available evidence on the role of contemporary cardiovascular imaging techniques in evaluating ischemic heart disease in women.
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Phillips et al. (2010) conducted a review in Coronary Artery Disease / Ischemic Heart Disease. Noninvasive cardiovascular imaging techniques was evaluated. Contemporary noninvasive cardiac imaging techniques, including stress SPECT and stress echocardiography, effectively diagnose and risk-stratify symptomatic women at risk for ischemic heart disease.
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