Geschlechtsspezifische Unterschiede bei koronarer Herzerkrankung

Zusammenfassung

Die koronare Herzerkrankung ist die häufigste Herzerkrankung bei Frauen und Männern. Geschlechtsspezifische Unterschiede in der Symptomatik, der Prognose und der Behandlung bei Patienten mit koronarer Herzerkrankung wurden bereits in zahlreichen Studien untersucht. Frauen sind älter, besitzen mehr Komorbiditäten, beklagen eher atypische Symptome, suchen später ärztliche Hilfe auf und werden weniger leitliniengerecht behandelt. In dem Artikel sollen geschlechtsspezifische Unterschiede bei Patienten mit akutem und chronischem Koronarsyndrom zusammengefasst werden.

Abstract

Coronary heart disease is the most common heart disease in women and men. Gender-specific differences in symptoms, prognosis and treatment in patients with coronary heart disease have already been investigated in numerous studies. Women are older, have more comorbidities, complain of atypical symptoms, seek medical help later and are less likely treated guideline-directed. The article aims to summarize gender differences in patients with acute and chronic coronary syndrome.

Was ist wichtig?

• Die koronare Herzerkrankung (KHK) ist die führende Todesursache bei Frauen und Männern.

• Frauen sind bei Erstmanifestation der KHK älter, besitzen mehr Komorbiditäten und beklagen eher atypische Symptome.

• Die Letalität und Hospitalisierungsrate im akuten Myokardinfarkt ist bei Frauen höher.

• Die Medikamentenadhärenz bei der Sekundärprophylaxe ist bei Frauen geringer.

Schlüsselwörter

akutes Koronarsyndrom - chronisches Koronarsyndrom - Geschlecht - PCI - koronare Herzerkrankung

Keywords

coronary aretery disease - acute coronary syndrome - chronic coronary syndrome - gender - PCI

Publication History

Article published online:
09 February 2022

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