Despite coronary artery disease (CAD) killing at least as many women as men each year, women are still today less likely to receive preventive recommendations, such as lipid-lowering therapy, aspirin, and lifestyle advice, than are men at a similar risk level. The challenges for women with CAD are outlined in a paper in this month's edition of Global Heart, the journal of the World Heart Federation. The paper, titled 'Coronary Artery Disease in Women: A 2013 Update', is by Dr Kavita Sharma and Dr Martha Gulati, The Ohio State University, Columbus, OH, USA.
Worldwide, 8.6 million women die from cardiovascular diseases (CVD, which includes CAD) each year, accounting for a third of all deaths in women. Worldwide, 17.3 million people died from CVDs in 2008, representing 30% of all global deaths, occurring almost equally in men and women. CVD remains the number one cause of death in both genders worldwide and numbers of CVD deaths are projected to increase to 23.3 million by 2030.
"CAD is a leading cause of death of women and men worldwide. Yet CAD's impact on women traditionally has been underappreciated due to higher rates at younger ages in men," say the authors. "Microvascular coronary disease** disproportionately affects women. Women have unique risk factors for CAD, including those related to pregnancy and autoimmune disease. Trial data indicate that CAD should be managed differently in women."
CAD is the leading cause of death for both men and women in the USA (and most other developed countries). "More women than men die of CAD, and more women have died from CAD than of cancer (including breast cancer), chronic lower respiratory disease, Alzheimer's disease, and accidents combined," say the authors. There has been some good news, in that from 1998 to 2008, the rate of death from CAD declined 30% in the USA (with similar falls in other developed countries); however, rates are actually increasing in younger women aged 55 years and unde
|Contact: Dr. Martha Gulati|
World Heart Federation