Coronary Disease in Women: Evidence-Based Diagnosis and Treatment (Contemporary Cardiology)

It is now generally recognized that clinical trial investigators and research scientists at the molecular, genetic, and cellular levels need to perform more detailed gender-based research in order to understand how sex-based differences impact women's health, illness, and health care. In Coronary Disease in Women: Evidence-Based Diagnosis and Treatment, leading authorities and clinical experts review the data concerning coronary disease in women and provide a clinical management approach to the care of women with known or suspected coronary artery disease. Whereas earlier books have focused on gender-based differences in the epidemiology of coronary disease, or on gender bias in its treatment, the present work focuses on the daily, evidence-based clinical management of coronary disease in women. Working from the recommendations of the landmark Institute of Medicine's report, Exploring the Biological Contributions to Human Health: Does Sex Matter?, the authors apply the latest epidemiological findings and diagnostic tools to the evaluation of stable chest pain and acute ischemic syndromes in women. They also detail the therapeutic effectiveness of various treatments in women, such as coronary revascularization, electrophysiology, exercise training and cardiac rehabilitation, and menopausal hormone therapy. Additional chapters examine the effects of gender bias in diagnosis and treatment, the role of gynecologists as primary care physicians for women, health technology assessment in an era of managed care, and the problems of analyzing cost-effectiveness in the diagnosis and treatment of coronary artery disease in women. Authoritative and timely, Coronary Disease in Women: Evidence-Based Diagnosis and Treatment provides primary care physicians, cardiologists, family practitioners, gynecologists, and internists with an up-to-date guide to the optimal management of coronary disease in women today. Provides A Clinical Management Approach To The Care Of Women With Known Or Suspected Coronary Artery Disease Using An Evidence-based Approach. The Authors Provide Special Management Issues With Women In Developing Clinical Pathways Including Those Of Primary And Secondary Prevention Of Coronary Heart Diseases. It Covers The Screening And Diagnosis Of Coronary Disease In Women With Chapters On Epidemiology, Varying Symptom Presentation, And Choosing The Best Diagnostic Tests Based On Gender. Also Covered Are Disease Management Issues Including The Variations Of Therapeutic Effectiveness In Women, The Evaluation Of Stable Chest Pain Syndromes In Women, And The Evaluation Of Acute Ischemic Syndromes. The Books Concludes With Chapters On The Economics And Policy Issues In Health Care Including The Issues Of Gender Bias, Working With Managed Care, And The Role Of Women's Health Centers In Providing Care, Making This A Useful Text For All Physicians Treating Coronary Disease In Women. 1. Institute Of Medicine Report, Women's Cardiovascular Health, And Evidence-based Medicine / Nanette K. Wenger -- 2. Evidence-based Medicine In The Assessment Of Women At Risk For Cardiovascular Disease / Leslee J. Shaw -- 3. Population-based Sex Differences In Disease Incidence And Prevalence / Brandi J. Witt And Veronique L. Roger -- 4. Risk Detection And Primary Prevention In Women / Lori Mosca And Leslee J. Shaw -- 5. Early Detection Of Coronary Artery Disease In Women: Role Of Coronary Artery Calcium Scanning With Ebt / John A. Rumberger -- 6. Heart Failure In Women: Epidemiology, Gender Differences In Pathophysiology, And Implications For Therapy / Daniel P. Morin, Marvin A. Konstam, Michael E. Mendelsohn And James E. Udelson -- 7. Diastolic Dysfunction In Women / Mary Norine Walsh And Mariell Jessup -- 8. Functional Capacity And Activities Of Daily Living In Women / Claire E. Pothier Snader And Michael S. Lauer -- 9. Special Considerations For Minority Women / Jennifer H. Mieres And Elizabeth Ofili -- 10. Clinical Risk Assessment In Women: Chest Discomfort. Report From The Wise Study / B. Delia Johnson, Sheryl F. Kelsey And C. Noel Bairey Merz -- 11. Quality-of-life Issues For Women With Coronary Disease / John Spertus And Darcy Green Conaway -- 12. Should All Women With Suspected Coronary Disease Undergo Stress Cardiac Imaging? / Anthony P. Morise -- 13. State-of-the-art Diagnostic Testing In Women: A Research Update / Leslee J. Shaw, B. Delia Johnson, Sharon Mulvagh, Jennifer H. Mieres, Rita F. Redberg And C. Noel Bairey Merz -- 14. Treatment Strategies For Women With Stable Angina / Paul R. Casperson, Leslee J. Shaw And Robert A. O'rourke -- 15. Improving The Diagnosis And Management Of Women With Coronary Disease In Primary Care Settings / Kimberly J. Rask -- 16. Evaluation Of Acute Chest Pain In Women / Andra L. Blomkalns, W. Brian Gibler And L. Kristin Newby -- 17. Acute Ischemic Syndromes: Differences In Presentation And Treatment In Women / Jane A. Leopold And Alice K. Jacobs -- 18. Effectiveness Of Coronary Revascularization: Gender And Racial Differences / Christi Deaton, Cherie L. Kunik And Eric Peterson -- 19. Electrophysiology: Treatment Considerations In Women / Michael S. Bailey And Anne B. Curtis -- 20. Exercise Training And Cardiac Rehabilitation For Women / Elisa Yuen Man Chiu, Maria Vivina T. Regis And Erika Sivarajan Froelicher -- 21. Menopausal Hormone Therapy: Is There Evidence For Cardiac Protection? / Nanette K. Wenger -- 22. Gender Bias: Is It Real And How Does It Affect Diagnosis, Management, And Outcome? / Thomas H. Marwick And Jonathan Chan -- 23. Role Of Women's Health Centers In Improving Access And Process Of Care / Susan Kendig And D. Douglas Miller -- 24. Obstetrician/gynecologists, Primary Care, And Cardiovascular Disease / William W. Hurd, Sheela Barhan And Robert E. Rogers -- 25. Health Technology Assessment In The Era Of Managed Care: Issues In Women's Health Care / Laura Sampietro-colom, Shawna Jackson, Erin Williams And Frank J. Papatheofanis -- 26. Issues In The Analysis Of Cost-effectiveness In The Diagnosis And Treatment Of Coronary Artery Disease In Women / Adam Atherly And Steven D. Culler. Edited By Leslee J. Shaw, Rita F. Redberg. Includes Bibliographical References And Index. Front Matter....Pages i-xiii Front Matter....Pages 1-1 The Institute of Medicine Report, Women’s Cardiovascular Health, and Evidence-Based Medicine....Pages 3-7 Evidence-Based Medicine in the Assessment of Women at Risk for Cardiovascular Disease....Pages 9-16 Front Matter....Pages 17-17 Population-Based Sex Differences in Disease Incidence and Prevalence....Pages 19-28 Risk Detection and Primary Prevention in Women....Pages 29-45 Early Detection of Coronary Artery Disease in Women....Pages 47-64 Heart Failure in Women....Pages 65-91 Diastolic Dysfunction in Women....Pages 93-101 Functional Capacity and Activities of Daily Living in Women....Pages 103-118 Special Considerations for Minority Women....Pages 119-125 Clinical Risk Assessment in Women....Pages 129-141 Quality-of-Life Issues for Women With Coronary Disease....Pages 143-157 Should All Women With Suspected Coronary Disease Undergo Stress Cardiac Imaging?....Pages 161-172 State-of-the-Art Diagnostic Testing in Women....Pages 173-194 Front Matter....Pages 195-195 Treatment Strategies for Women With Stable Angina....Pages 197-214 Improving the Diagnosis and Management of Women With Coronary Disease in Primary Care Settings....Pages 215-224 Evaluation of Acute Chest Pain in Women....Pages 227-242 Acute Ischemic Syndromes....Pages 243-266 Effectiveness of Coronary Revascularization....Pages 269-284 Electrophysiology....Pages 285-295 Exercise Training and Cardiac Rehabilitation for Women....Pages 297-320 Front Matter....Pages 195-195 Menopausal Hormone Therapy....Pages 321-348 Front Matter....Pages 349-349 Gender Bias....Pages 351-369 The Role of Women’s Health Centers in Improving Access and Process of Care....Pages 371-385 Obstetrician/Gynecologists, Primary Care, and Cardiovascular Disease....Pages 387-399 Health Technology Assessment in the Era of Managed Care....Pages 401-412 Issues in the Analysis of Cost-Effectiveness in the Diagnosis and Treatment of Coronary Artery Disease in Women....Pages 413-421 Back Matter....Pages 423-431

An authoritative guide to clinical management of women with known or suspected coronary artery disease. Using an evidence-based approach, the authors apply the latest epidemiological findings and diagnostic tools to the evaluation of stable chest pain and acute ischemic syndromes in women, and detail the therapeutic effectiveness of various treatments in women, such as coronary revascularization, electrophysiology, exercise training and cardiac rehabilitation, and menopausal hormone therapy. Additional chapters examine the effects of gender bias in diagnosis and treatment, the role of gynecologists as primary care physicians for women, health technology assessment in an era of managed care, and the problems of analyzing cost-effectiveness in the diagnosis and treatment of coronary artery disease in women.

The recently released Institute of Medicine (IOM) report (1) Exploring the Biological Contributions to Human Health: Does Sex Matter? advocated the study of sex differences "from womb to tomb" to improve the quality and appropriateness of health care services for women.