女性心血管疾病之診斷與治療

Diagnosis and Treatment of Cardiovascular Disease in Women

朱益增(I-Tseng Chu) ； 蔡翰林(Han-Lin Tsai) ； 洪培豪(Peir-Haur Hung) ； 陳宗賢(Tsung-Hsien Chen) ； 張瑞月(Rei-Yeuh Chang)

《內科學誌》 29卷4期 (2018/08) Pp. 191-209

https://doi.org/10.6314/JIMT.201808_29(4).01

摘要

心血管疾病是全世界最常見的死亡原因之一，但許多女性患者及其臨床醫生忽略了其風險。女性心血管疾病的發病機制、症狀與診斷不同於男性，常造成女性患者得不到即時之診治。女性心肌缺血患者之徵兆與症狀，較男性患者更大的症狀耐受性與更高的非阻塞性冠狀動脈疾病之患病率。本文，我們探討缺血性心臟病於女性之臨床表現與治療差異。從性別角度改善女性危險分層、診斷和治療，以增加女性缺血性心臟病的預後的存活率。

關鍵字

女性(Women) ； 缺血性心臟病 (Ischemic heart disease) ； 診斷(Diagnosis) ； 治療(Treatment)

並列摘要

Cardiovascular diseases is one of the most frequent cause of death worldwide, however, it has been underestimated in physicians and patients. Due to the difference of pathogenesis, presentation and diagnosis of cardiovascular diseases in women, they tend to be under treatment of these diseases. Female patients present with higher prevalence of non-obstructive coronary artery diseases and a greater burden of risk factor than male patients in general. Therefore, in this review, we investigate the gender-related differences in clinical presentation, treatment, and ischaemic heart disease burdens. A better understanding of the gender difference is likely to open ways to improve survival rate of ischemic heart disease in women.