Coronary Disease in Women

An authoritative guide to clinical management of women with known or suspected coronary artery disease. Using an evidence-based approach, the authors apply the latest epidemiological findings and diagnostic tools to the evaluation of stable chest pain and acute ischemic syndromes in women, and detail the therapeutic effectiveness of various treatments in women, such as coronary revascularization, electrophysiology, exercise training and cardiac rehabilitation, and menopausal hormone therapy. Additional chapters examine the effects of gender bias in diagnosis and treatment, the role of gynecologists as primary care physicians for women, health technology assessment in an era of managed care, and the problems of analyzing cost-effectiveness in the diagnosis and treatment of coronary artery disease in women.

Includes supplementary material: sn.pub/extras

Klappentext

It is now generally recognized that clinical trial investigators and research scientists at the molecular, genetic, and cellular levels need to perform more detailed gender-based research in order to understand how sex-based differences impact women's health, illness, and health care. In Coronary Disease in Women: Evidence-Based Diagnosis and Treatment, leading authorities and clinical experts review the data concerning coronary disease in women and provide a clinical management approach to the care of women with known or suspected coronary artery disease. Whereas earlier books have focused on gender-based differences in the epidemiology of coronary disease, or on gender bias in its treatment, the present work focuses on the daily, evidence-based clinical management of coronary disease in women. Working from the recommendations of the landmark Institute of Medicine's report, Exploring the Biological Contributions to Human Health: Does Sex Matter?, the authors apply the latest epidemiological findings and diagnostic tools to the evaluation of stable chest pain and acute ischemic syndromes in women. They also detail the therapeutic effectiveness of various treatments in women, such as coronary revascularization, electrophysiology, exercise training and cardiac rehabilitation, and menopausal hormone therapy. Additional chapters examine the effects of gender bias in diagnosis and treatment, the role of gynecologists as primary care physicians for women, health technology assessment in an era of managed care, and the problems of analyzing cost-effectiveness in the diagnosis and treatment of coronary artery disease in women.
Authoritative and timely, Coronary Disease in Women: Evidence-Based Diagnosis and Treatment provides primary care physicians, cardiologists, family practitioners, gynecologists, and internists with an up-to-date guide to the optimal management of coronary disease in women today.

Inhalt
I. Introduction.- 1 The Institute of Medicine Report, Women's Cardiovascular Health, and Evidence-Based Medicine.- 2 Evidence-Based Medicine in the Assessment of Women at Risk for Cardiovascular Disease.- II. Screening and Diagnosis of Coronary Disease in Women.- A. Cardiovascular Epidemiology in Women.- 3 Population-Based Sex Differences in Disease Incidence and Prevalence.- 4 Risk Detection and Primary Prevention in Women.- 5 Early Detection of Coronary Artery Disease in Women: Role of Coronary Artery Calcium Scanning With EBT.- 6 Heart Failure in Women: Epidemiology, Gender Differences in Pathophysiology, and Implications for Therapy.- 7 Diastolic Dysfunction in Women.- 8 Functional Capacity and Activities of Daily Living in Women.- 9 Special Considerations for Minority Women.- B. Varying Symptom Presentation in Women.- 10 Clinical Risk Assessment in Women: Chest Discomfort. Report from the WISE Study.- 11 Quality-of-Life Issues for Women With Coronary Disease.- C. Choosing the Best Diagnostic Test for Women.- 12 Should All Women With Suspected Coronary Disease Undergo Stress Cardiac Imaging?.- 13 State-of-the-Art Diagnostic Testing in Women: A Research Update.- III. Management of Coronary Disease in Women.- A. Evaluation of Stable Chest Pain Syndromes in Women.- 14 Treatment Strategies for Women With Stable Angina.- 15 Improving the Diagnosis and Management of Women With Coronary Disease in Primary Care Settings.- B. Evaluation of Acute Ischemic Syndromes in Women.- 16 Evaluation of Acute Chest Pain in Women.- 17 Acute Ischemic Syndromes: Differences in Presentation and Treatment in Women.- C. Variations in Therapeutic Effectiveness in Women.- 18 Effectiveness of Coronary Revascularization: Gender and Racial Differences.- 19 Electrophysiology: TreatmentConsiderations in Women.- 20 Exercise Training and Cardiac Rehabilitation for Women.- 21 Menopausal Hormone Therapy: Is There Evidence for Cardiac Protection?.- IV. Economics and Policy Issues in Health Care Related to Women.- 22 Gender Bias: Is It Real and How Does It Affect Diagnosis, Management, and Outcome?.- 23 The Role of Women's Health Centers in Improving Access and Process of Care.- 24 Obstetrician/Gynecologists, Primary Care, and Cardiovascular Disease.- 25 Health Technology Assessment in the Era of Managed Care: Issues in Women's Health Care.- 26 Issues in the Analysis of Cost-Effectiveness in the Diagnosis and Treatment of Coronary Artery Disease in Women.