Epidemiology of coronary heart disease in women

被引:165
作者
Bello, N
Mosca, L
机构
[1] Univ Rochester, Sch Med & Dent, Rochester, NY 14627 USA
[2] Columbia Univ, Coll Phys & Surg, New York, NY 10027 USA
[3] Univ Hosp Columbia, New York Presbyterian Hosp, New York, NY USA
[4] Univ Hosp Cornell, New York Presbyterian Hosp, New York, NY USA
关键词
D O I
10.1016/j.pcad.2003.08.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiovascular disease (CVD) is the leading cause of mortality in women and a major cause of morbidity. Coronary heart disease (CHD) accounts for nearly half of all CVD deaths. Gender differences in CHD include a later age of onset for women, a greater prevalence of comorbid diseases, and differences in the initial manifestations of the disease. Traditional risk factors for CHD include tobacco use, hypertension, diabetes mellitus, dyslipidemia, obesity, sedentary lifestyle, and atherogenic diet. More recently identified risk factors in women include high sensitivity C-reactive protein (hsCRP), homocysteine, and lipoprotein (a). Appropriate management of risk factors is associated with a reduced incidence of CHD, yet poor implementation in women is widely documented. Barriers to optimal risk factor management in women should be identified and overcome in an effort to maximize the cardiovascular health of women. © 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:287 / 295
页数:9
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