Sex-Specific Aspects in the Pathophysiology and Imaging of Coronary Macro- and Microvascular Disease.

Abstract:

:Sex differences in coronary artery disease (CAD) are well established, with women presenting with non-obstructive CAD more often than men do. However, recent evidence has identified coronary microvascular dysfunction as the underlying cause for cardiac complaints, yet sex-specific prevalence numbers are inconclusive. This review summarises known sex-specific aspects in the pathophysiology of both macro- and microvascular dysfunction and identifies currently existing knowledge gaps. In addition, this review describes current diagnostic approaches and whether these should take underlying sex differences into account by, for example, using different techniques or cut-off values for women and men. Future research into both innovation of imaging techniques and perfusion-related sex differences is needed to fill evidence gaps and enable the implementation of the available knowledge in daily clinical practice.

authors

Groepenhoff F,Bots SH,Kessler EL,Sickinghe AA,Eikendal ALM,Leiner T,den Ruijter HM

doi

10.1007/s12265-019-09906-0

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

39-46

issue

1

eissn

1937-5387

issn

1937-5395

pii

10.1007/s12265-019-09906-0

journal_volume

13

pub_type

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