Diagnostic and Management Dilemmas in Women Presenting with Acute Coronary Syndromes.
Lindsey TrutterAllison BigehCristina PecciMarium MuzaffarMartha GulatiPublished in: Current cardiology reports (2020)
Sex differences exist in many aspects of ACS that impact the identification, treatment, and outcomes in women. There are delays in the initiation of care, under recognized diagnostic differences based on sex, and inconsistencies in the management of ACS in women compared with men, that ultimately impact outcomes. Additionally, women with ACS are more likely than men to present with non-obstructive coronary artery disease (CAD), which appears to be due to diverse underlying pathophysiology. Women with ACS face diagnostic and treatment dilemmas from time of symptom onset to hospital discharge. Under-recognition, under-diagnosis, and under-treatment ultimately result in poorer outcomes in women. Underlying pathophysiologic differences in women require additional testing to elucidate underlying etiologies.
Keyphrases
- acute coronary syndrome
- polycystic ovary syndrome
- coronary artery disease
- pregnancy outcomes
- healthcare
- palliative care
- cervical cancer screening
- breast cancer risk
- insulin resistance
- skeletal muscle
- cardiovascular disease
- cardiovascular events
- coronary artery bypass grafting
- pain management
- bioinformatics analysis
- aortic stenosis