Gender Disparities on Access to Care and Coronary Disease Management

Curr Pharm Des. 2021 Apr 6. doi: 10.2174/1381612827666210406144310. Online ahead of print.ABSTRACTMortality decline in women to a lesser extent than in men with coronary artery disease (CAD) has provoked a bigger interest in some already existing dilemmas and questions. Many studies carried out in the past three decades have remained without precise answers and with many challenges in the prevention, diagnosis, treatment and outcome of CAD in women. The meta-analysis and the systematic review conducted in the last years have offered novel approaches to understanding CAD gender disparities in access to care and coronary disease management in women, but women still were more likely to have experienced less favorable short- and long-term outcomes than men did. The reasons for these findings should lie in several known segments in the CAD pathophysiological mechanisms different in women and ultimately leading to a lower quality of care. Clinical presentation in women, which is often characterized by atypical chest pain and a higher prevalence of non-obstructive CAD when evaluated invasively, places women to the false-negative diagnosis of CAD and influences inadequate access to care. Clinical presentation and diagnostic methods, as well as the appropriate treatment options insufficiently examined in women, need to be better defined. The traditional risk factors and the cardiovascular risk factors unique in women have recently been recognized to have a greater impact on women. How...
Source: Current Pharmaceutical Design - Category: Drugs & Pharmacology Authors: Source Type: research