Coronary heart disease in women: a challenge for the 21st century

Heart disease is the first killer of women in the modern era, regardless of age, race and of ethnicity, although its prevalence rises after menopause. Modern women have professional and housewife responsibilities, consume excess of fat and carbohydrates, smoke, do not exercise regularly and do not h...

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Main Author: Maria Cecília Solimene
Format: Article
Language:English
Published: Elsevier España 2010-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000100015
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author Maria Cecília Solimene
author_facet Maria Cecília Solimene
author_sort Maria Cecília Solimene
collection DOAJ
description Heart disease is the first killer of women in the modern era, regardless of age, race and of ethnicity, although its prevalence rises after menopause. Modern women have professional and housewife responsibilities, consume excess of fat and carbohydrates, smoke, do not exercise regularly and do not have enough time to rest. This situation leads to overweight, dyslipidemia, arterial hypertension, impaired glucose tolerance and diabetes. Women do not often participate in preventive studies and still undergo less intensive and invasive evaluation and treatment for chest pain when compared to men. However, the rate of coronary death is twice higher in women than in men after myocardial infarction and revascularization procedures. The objective of this review is to analyze the main gender differences regarding symptoms, diagnosis, management and prognosis of coronary heart disease and to discuss the influence of hormonal replacement therapy in the prevention of cardiovascular disease in postmenopausal women.
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spelling doaj.art-dd06c73e75f644c9b9d790d8f2e622512022-12-22T02:47:23ZengElsevier EspañaClinics1807-59321980-53222010-01-016519910610.1590/S1807-59322010000100015Coronary heart disease in women: a challenge for the 21st centuryMaria Cecília SolimeneHeart disease is the first killer of women in the modern era, regardless of age, race and of ethnicity, although its prevalence rises after menopause. Modern women have professional and housewife responsibilities, consume excess of fat and carbohydrates, smoke, do not exercise regularly and do not have enough time to rest. This situation leads to overweight, dyslipidemia, arterial hypertension, impaired glucose tolerance and diabetes. Women do not often participate in preventive studies and still undergo less intensive and invasive evaluation and treatment for chest pain when compared to men. However, the rate of coronary death is twice higher in women than in men after myocardial infarction and revascularization procedures. The objective of this review is to analyze the main gender differences regarding symptoms, diagnosis, management and prognosis of coronary heart disease and to discuss the influence of hormonal replacement therapy in the prevention of cardiovascular disease in postmenopausal women.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000100015WomenCoronary diseaseDiagnosisPrognosisHormone therapy
spellingShingle Maria Cecília Solimene
Coronary heart disease in women: a challenge for the 21st century
Clinics
Women
Coronary disease
Diagnosis
Prognosis
Hormone therapy
title Coronary heart disease in women: a challenge for the 21st century
title_full Coronary heart disease in women: a challenge for the 21st century
title_fullStr Coronary heart disease in women: a challenge for the 21st century
title_full_unstemmed Coronary heart disease in women: a challenge for the 21st century
title_short Coronary heart disease in women: a challenge for the 21st century
title_sort coronary heart disease in women a challenge for the 21st century
topic Women
Coronary disease
Diagnosis
Prognosis
Hormone therapy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010000100015
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