GENDER ISSUES OF CLINICAL COURSE AND TREATMENT OF ACUTE CORONARY SYNDROME
DOI:
https://doi.org/10.11603/1811-2471.2018.v0.i2.8932Keywords:
acute coronary syndrome, myocardial infarction without obstruction of coronary arteries, percutaneous coronary intervention, fibrinolysis.Abstract
Cardiovascular diseases are among leading causes of mortality in both men and women. However, acute coronary syndrome in women often remains undiagnosed and untreated due to lack of awareness of this problem by women, the presence of atypical symptoms, delay in time with the correct diagnosis and lesser use of invasive treatments.
In this article the main features of the clinical course of acute coronary syndrome in women, in particular myocardial infarction without obstruction of the coronary arteries, are highlighted. At the same time, the general principles of diagnostics and management for both sexes are emphasized, regardless of the presence of certain gender differences, as well as the list, indications for use and doses of fibrinolytic, anticoagulant and antiplatelet agents from the standpoint of evidence-based medicine.
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