کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2937713 1176895 2016 14 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Sex-Based Differences in Acute Coronary Syndromes : Insights From Invasive and Noninvasive Coronary Technologies
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Sex-Based Differences in Acute Coronary Syndromes : Insights From Invasive and Noninvasive Coronary Technologies
چکیده انگلیسی

Acute coronary syndromes (ACS) may result from atherosclerotic or nonatherosclerotic mechanisms, and commonly but not always present as plaque rupture. Women presenting with ACS are more often older than men with several pre-existing comorbidities. Although the protective influence of estrogen is notable in younger women, it is over-ridden by the presence of risk factors resulting in worse outcomes for young women with ACS compared with young men. Similarly the morbidity of angiographically nonobstructive disease is greater in women, leading to recurrent angina and hospitalization. ACS resulting from nonatherosclerotic mechanisms requires rigorous investigation for appropriate management. Although cost and logistics deter the routine use of invasive coronary imaging during cardiac catheterization, careful clinical considerations are warranted to guide optimal usage in practice. This review will discuss the insights into sex-based differences obtained chiefly from invasive coronary imaging with a focus on ACS.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: JACC: Cardiovascular Imaging - Volume 9, Issue 4, April 2016, Pages 451–464
نویسندگان
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