Advanced cardiac imaging, including CCTA and CMR, plays a pivotal role in the management and diagnosis of acute chest pain and acute coronary syndrome in women.
Advanced cardiac imaging is essential for accurately diagnosing the specific causes of acute chest pain in women, who frequently present with non-obstructive coronary artery disease, SCAD, or MINOCA.
Awareness of gender differences in cardiovascular disease (CVD) has increased: both the different impact of traditional cardiovascular risk factors on women and the existence of sex-specific risk factors have been demonstrated. Therefore, it is essential to recognize typical aspects of ischemic heart disease (IHD) in women, who usually show a lower prevalence of obstructive coronary artery disease (CAD) as a cause of acute coronary syndrome (ACS). It is also important to know how to recognize pathologies that can cause acute chest pain with a higher incidence in women, such as spontaneous coronary artery dissection (SCAD) and myocardial infarction with non-obstructive coronary arteries (MINOCA). Coronary computed tomography angiography (CCTA) and cardiac magnetic resonance imaging (CMR) gained a pivotal role in the context of cardiac emergencies. Thus, the aim of our review is to investigate the most frequent scenarios in women with acute chest pain and how advanced cardiac imaging can help in the management and diagnosis of ACS.
Dell’Aversana et al. (Mon,) conducted a review in Acute chest pain and acute coronary syndrome in women. Advanced cardiac imaging (CCTA and CMR) was evaluated. Advanced cardiac imaging, including CCTA and CMR, plays a pivotal role in the management and diagnosis of acute chest pain and acute coronary syndrome in women.
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