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VACCABINO VIOLA MD. phD
Cardiology in Review: January-February 1998
Women's Issues in Cardiology: PDF Only
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Ederly women represented a major portion of all individuals who from coronary heart disease (CHD) and its complications. Nonetheless, limited information is available on clinical characteristics and prognostic factors of CHD among elderly women. Gender differences in outcome of CHD often have been described in middle-aged patients, with women showing a better prognosis than men for angina pectoris and a worse prognosis that men for myocardiat infarction. In general, these differences are less evident or even disappear in older populations. The clinical characteristics of myocardial infarction in elderly men and women are also similar. Despite these similarities in clinical characteristics and outcoke of CHD in women and men, similarly to what has been described in younger patient samples. Women with CHD also are referred to cardiac rehabilitation programs iess often than men despite the fact the that they report higher levels of disability. At the present time, it is not clear how many of these management diggerences are due to health care providers' differential decision-making or rather to gender-related preferences. CHD appears to have a major impact on functiong and quality of life in both elderly women and men. Overall, the effect appears similarly in women and men, although women report more disability after CHD than men. Little is known about factors related to functional recovery in elderly patients in general, and in women in particular, to date.

© Williams & Wilkins 1998. All Rights Reserved.