Either way, these women still have issues serious enough to cause a heart attack or unstable angina, and those issues need to be addressed through preventive treatment, the authors say.
The under-treatment of women and men with non-obstructive coronary artery disease may set patients up for more heart attacks and other problems in the future, say Jackson and Eagle. In fact, both women and men with mild obstructions had similar outcomes six months after their heart attack or angina episode.
Part of the problem is that many patients and physicians dont yet see coronary artery disease for what science has shown it to be: a whole-body problem that must be prevented or managed through lifestyle changes as well as medications and, for emergency cases, treatments such as angioplasty or bypass surgery.
Only through improvements in diet and exercise habits, quitting smoking, controlling blood pressure and blood sugar, and using medication when needed, will people with non-obstructive disease keep themselves from progressing to worse problems, says Jackson, who is part of the Womens Heart Program at U-M. We need a more comprehensive, whole-body approach to prevention, she says.
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| Contact: Kara Gavin kegavin@umich.edu 734-764-2220 University of Michigan Health System Source:Eurekalert |