“Mind the gap” acute coronary syndrome in women: A contemporary review of current clinical evidence

Elizabeth Davis, Diana A. Gorog, Charanjit Rihal, Abhiram Prasad, Manivannan Srinivasan

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

The incidence and prevalence of coronary artery disease in women has exceeded that in men over the past four decades, and although a significant decline in mortality has occurred in the past two decades, there is a growing body of evidence suggesting that there are gender differences between the clinical manifestations and course of coronary artery disease, as well as differences in treatment and treatment response. This review article considers the current literature regarding the gender-specific manifestation of acute coronary syndromes. Through the review of basic science articles, subsets of trial data, and meta-analyses, the gender-specific differences in within acute coronary syndromes are considered in terms of diagnostic dilemmas, pathophysiology, and treatment options (including pharmacological, percutaneous and surgical methods). Finally, acute coronary syndromes and their management in the special circumstance of pregnancy are also reviewed.

Original languageEnglish (US)
Pages (from-to)840-849
Number of pages10
JournalInternational Journal of Cardiology
Volume227
DOIs
StatePublished - Jan 15 2017

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Keywords

  • Angioplasty
  • Myocardial infarction
  • Pregnancy
  • Women

ASJC Scopus subject areas

  • Medicine(all)
  • Cardiology and Cardiovascular Medicine

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