Women's Heart Health: Difference between revisions

Jump to navigation Jump to search
no edit summary
No edit summary
No edit summary
Line 111: Line 111:
Women who are diagnosed with non cardiac chest pain have twofold increased risk to develop a coronary event in the next 5-7 years and have a four times higher risk for re-hospitalization. This implicates that diagnostic testing is limited and that women should be more aggressively treated for their risk factors.
Women who are diagnosed with non cardiac chest pain have twofold increased risk to develop a coronary event in the next 5-7 years and have a four times higher risk for re-hospitalization. This implicates that diagnostic testing is limited and that women should be more aggressively treated for their risk factors.


Chest pain syndromes are more common in women then in men and are less related to the presence of atherosclerosis in the epicardial coronary arteries.<cite>15</cite>  
Chest pain syndromes are more common in women then in men and are less related to the presence of atherosclerosis in the epicardial coronary arteries.<cite>8</cite>  


There are no gender-specific criteria for the interpretation of ECG’s. Non specific ECG changes at rest, a lower exercise capacity and a smaller vessel size contribute to the lower sensitivity and specificity of non-invasive testing in women. At younger ages, endogenous estrogen level scan induce ECG changes mimicking ischemia.  
There are no gender-specific criteria for the interpretation of ECG’s. Non specific ECG changes at rest, a lower exercise capacity and a smaller vessel size contribute to the lower sensitivity and specificity of non-invasive testing in women. At younger ages, endogenous estrogen level scan induce ECG changes mimicking ischemia.  
Line 120: Line 120:
Symptom management in patients with non-obstructive cardiovascular disease is a challenge. Important to differentiate between vasospastic forms and complaints related to endothelial dysfunction. Table 2 gives an overview of current treatment options.
Symptom management in patients with non-obstructive cardiovascular disease is a challenge. Important to differentiate between vasospastic forms and complaints related to endothelial dysfunction. Table 2 gives an overview of current treatment options.


Lifestyle behaviors can prevent and reduce the risk of getting heart disease and should therefore be primary focus in the GP-practice. Strategies adapt health lifestyle changes are listed below Adapted from Assessment and Management of cardiovascular risk in women ESC/ESH/2007):<cite>16</cite>
Lifestyle behaviors can prevent and reduce the risk of getting heart disease and should therefore be primary focus in the GP-practice. Strategies adapt health lifestyle changes are listed below Adapted from Assessment and Management of cardiovascular risk in women ESC/ESH/2007):<cite>9</cite>


====Smoking: TARGET: permanently stop smoking all forms of tobacco====
====Smoking: TARGET: permanently stop smoking all forms of tobacco====
Line 249: Line 249:
#6 pmid=12575968
#6 pmid=12575968
#7 pmid=21159671
#7 pmid=21159671
 
#8 pmid=16908490
 
#9 Adapted from Assessment and Management of cardiovascular risk in women ESC/ESH/2007
#9 (ref 14 AM/p27
 
#10 (AMp27 ref15
 
#11 ( AMp29/ref16
 
#12 (VACC ref 24
 
#13 VACC 25)
 
#14 AM p29/20,21).
 
#15 pmid=16908490
 
#16 Adapted from Assessment and Management of cardiovascular risk in women ESC/ESH/2007
 
</biblio>
</biblio>
467

edits

Navigation menu