CAD and women

Question 1

heart disease and women

Answer 1

leading cause of death

1/3 of all deaths for women

Question 2

under age 50

Answer 2

women’s heart attacks are 2x as likely to be fatal as when it occurs in men

Question 3

women younger than 45 w. CAD

Answer 3

worse prognosis than do men of same age

Question 4

Women’s risk factors significance

Answer 4

estrogens&raquo_space; increasing clot factors

hormonal status, diabetes, smoking & family history have greater impact on women’s health status

Question 5

women’s risk factors

Answer 5

>55 yo
hormonal status
smoking
diabetes
dyslipidemia >>low HDL greater risk
Hx CHD
fam hx of premature CHD
HTN
socioeconomic/minority

Question 6

elevated C-reactive protein

Answer 6

strong independent risk factor for <3 dz
adds to the predictive value of other factors
-more accurate in predicting events than cholesterol

Question 7

Reynold’s score

Answer 7

age
HbA1c w/ DM
smoking status
parental hx of MI < 60
HTN
High sensitivity - CR-P
Total & HDL cholesterol

Question 8

(un)common in males, common in females

Answer 8

• spontaneous coronary artery dissection
• stress induced cardiomyopathy (Takotsubo “broken heart” syndrome)&raquo_space;rare but 95% of the cases are women
• coronary microvascular dz- generalized narrowing

Question 9

How women present

Answer 9

extreme weakness even w/ normal sleep >> feels like flu
feeling sick to stomach
pain in the back b/twn the shoulders
trouble breathing
trouble sleeping

Question 10

cardiac work up

Answer 10

• stress test w/ treadmill&raquo_space;echocardiogram or radionuclide testing w/ treadmill/pharma stress test
• stress treadmill demonstrates a higher false positive rate in women