Cardiovascular care's gender gap: 8 notes

A patient's sex and gender influence cardiovascular disease outcomes, with women more likely to die after a first heart attack or stroke compared to men, according to an Oct. 20 Washington Post report. 

For the report, Amy Huebschmann, MD, and Judith Regensteiner, PhD, researchers from Aurora-based University of Colorado Anschutz Medical Campus who study women's health and cardiovascular disease, wrote about recent findings in the industry.

Here are eight notes from their report:

  1. While a patient's sex can influence how cardiovascular disease develops, gender can influence how they are treated by healthcare providers.

  2. Scientific research that provides the basis of medical evidence for cardiovascular care often excluded women before the National Institutes of Health Revitalization Act of 1993.

  3. Women have additional or different heart attack symptoms compared to men, including nausea, jaw pain, dizziness and fatigue. 

  4. Women who have entered menopause or have Type 2 diabetes are at an equal risk of heart attack compared with men.

  5. Cardiovascular disease presents differently, with narrowed arteries in women compared to clogged arteries in men. Treatment options for narrowed arteries have lagged behind treatment options for clogged arteries.

  6. Women present with lower levels of blood markers indicating heart damage, which can lead to missed diagnoses of heart attack and coronary artery disease.

  7. Implicit gender biases among healthcare providers can influence cardiovascular care.

  8. Dr. Huebschmann and Dr. Regensteiner called for updated, more sex-specific medical guidelines for the diagnosis and treatment of cardiovascular disease.

Read the full report here

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