Cardiovascular Disease in Women: Clinical Perspectives.
Cardiovascular Disease in Women: Clinical Perspectives.
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DOI：
10.1161/circresaha.116.307547
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发表时间：
2016-04-15
影响因子：
20.1
通讯作者：
Manson JE
中科院分区：
文献类型：
--
作者：
Garcia M;Mulvagh SL;Merz CN;Buring JE;Manson JE
心血管疾病(CVD)仍然是美国女性死亡的主要原因，约占女性死亡人数的三分之一。关注心血管疾病的性别数据一直在稳步增加，但没有常规收集，也没有转化为实践。这篇全面的综述集中在女性心血管健康的新的和独特的方面，以及性别差异，因为它们与预防、诊断和治疗心血管疾病的临床实践有关。本文还介绍了目前女性常见的急性冠状动脉综合征的评估和治疗方法，包括：与非梗阻性冠状动脉相关的心肌梗死、自发性冠状动脉夹层和应激性心肌病(Takotsubo综合征)。还简要回顾了在女性中发病率较高或有独特考虑的其他心血管疾病，如射血分数保留的心力衰竭、外周动脉疾病和腹主动脉瘤。最后，对心脏康复提出了建议。
Cardiovascular disease (CVD) continues to be the leading cause of death among women in the United States, accounting for approximately one of every three female deaths. Sex-specific data focused on CVD has been increasing steadily, yet is not routinely collected nor translated into practice. This comprehensive review focuses on novel and unique aspects of cardiovascular health in women and sex-differences as they relate to clinical practice in the prevention, diagnosis, and treatment of CVD. This review also provides current approaches to the evaluation and treatment of acute coronary syndromes that are more prevalent in women, including: myocardial infarction associated with non-obstructive coronary arteries, spontaneous coronary artery dissection, and stress-induced cardiomyopathy (Takotsubo Syndrome). Other CVD entities with higher prevalence or unique considerations in women, such as heart failure with preserved ejection fraction, peripheral arterial disease and abdominal aortic aneurysms, are also briefly reviewed. Lastly, recommendations for cardiac rehabilitation are addressed.