Acute Coronary Syndrome in Women: An Update

被引：1
|
作者：
Alder, Madeleine R. [1 ]
Adamek, Kylie E. [1 ]
Lowenstern, Angela [1 ]
Raj, Leah M. [1 ]
Lindley, Kathryn J. [1 ,2 ]
Sutton, Nadia R. [1 ,3 ]
机构：
[1] Vanderbilt Univ, Med Ctr, Dept Med, Div Cardiovasc Med, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Med Ctr, Dept Obstet & Gynecol, Nashville, TN USA
[3] Vanderbilt Univ, Dept Biomed Engn, Nashville, TN 37235 USA
来源：
CURRENT CARDIOLOGY REPORTS | 2024年 / 26卷 / 05期
基金：
美国国家卫生研究院;
关键词：
Acute Coronary Syndromes; Sex-specific differences; Myocardial infarction with nonobstructive coronary artery disease; Atherosclerosis; Spontaneous coronary artery dissection; ACUTE MYOCARDIAL-INFARCTION; ASSOCIATION JOINT COMMITTEE; ARTERY DISSECTION; CARDIAC REHABILITATION; SECONDARY PREVENTION; SCIENTIFIC STATEMENT; CLINICAL-FEATURES; AMERICAN-COLLEGE; HEART-DISEASE; OUTCOMES;
D O I：
10.1007/s11886-024-02033-6
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of ReviewThe goal of this manuscript is to provide a concise summary of recent developments in the approach to and treatment of women with acute coronary syndrome (ACS).Recent FindingsThis review covers terminology updates relating to ACS and myocardial injury and infarction. Updates on disparities in recognition, treatments, and outcomes of women with ACS due to atherosclerotic coronary artery disease are covered. Other causes of ACS, including spontaneous coronary artery dissection and myocardial infarction with non-obstructive coronary artery disease are discussed, given the increased frequency in women compared with men. The review summarizes the latest on the unique circumstance of ACS in women who are pregnant or post-partum, including etiologies, diagnostic approaches, medication safety, and revascularization considerations.Summary Compared with men, women with ACS have unique risk factors, presentations, and pathophysiology. Treatments known to be effective for men with atherosclerosis-related ACS are also effective for women; further work remains on reducing the disparities in diagnosis and treatment. Implementation of multimodality imaging will improve diagnostic accuracy and allow for targeted medical therapy in the setting of myocardial infarction with non-obstructive coronary artery disease.
引用
收藏
页码：293 / 301
页数：9
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