Dr. Johnson from the David Geffen School of Medicine at UCLA will review the significance and treatment options of Coronary Artery Disease (CAD) in women. He will discuss the differences in clinical presentation by gender, symptoms and age, along with appropriate diagnostic approaches. Appropriate treatment options and management strategies for women with CAD in accordance with the latest guidelines will also be discussed.
Heart disease affects men and women in different ways. In women, symptoms of burgeoning heart disease are often more insidious, but when a heart attack strikes, it is more lethal than it is in men. Roughly 25 percent of men will die within a year of their first heart attack, but among women, 38 percent will die. Women are twice as likely as men to have a second heart attack within 6 years of their first one, and women are twice as likely as men to die after bypass surgery. Yet after a heart attack, women’s hearts are more likely to maintain their systolic function—their ability to contract and pump blood from the chambers into the arteries. According to C. Noel Bairey Merz, MD, Director of the Women’s Heart Center at Cedars-Sinai Heart Institute in Los Angeles, this suggests that heart disease manifests differently in women, affecting the microvasculature (small blood vessels) instead of the macrovasculature (major blood vessels) as it does in men.