Menu Expand
Percutaneous Interventions in Women, An Issue of Interventional Cardiology Clinics - E-Book

Percutaneous Interventions in Women, An Issue of Interventional Cardiology Clinics - E-Book

Annapoorna S. Kini | Roxana Mehran

(2012)

Additional Information

Book Details

Abstract

Heart disease is the leading cause of death among US women over the age of 65, resulting in more deaths than all forms of cancer combined. Women are less likely to survive heart attacks than are men, possibly because symptoms in women may differ and may be less recognizable.  In addition, women consistently tend to have worse clinical outcomes in percutaneous coronary interventions than do men. For these reasons, an issue on percutaneous interventions in women is timely.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Interventional Cardiology Clinics i
Copyright Page ii
Table of Contents v
Contributors iii
Preface: Coronary Artery Disease in Women: Shyly Bold? ix
Chapter 1. An Approach to Asymptomatic and Atypically or Typically Symptomatic Women with Cardiac Disease 157
RISK DETECTION IN ASYMPTOMATIC WOMEN 157
EVALUATION OF SUSPECTED CARDIAC SYMPTOMS IN WOMEN 158
SUMMARY 161
REFERENCES 161
Chapter 2. Revascularization Strategies in Women with Stable Cardiovascular Disease: What do the Trials Reveal? 165
PATHOPHYSIOLOGY OF CAD IN WOMEN 165
REVASCULARIZATION STRATEGIES 167
CABG 169
SUMMARY 170
REFERENCES 170
Chapter 3. Interventional Management of ACS in Women: STEMI and NSTEMI 173
THE GENDER GAP 173
STEMI 174
NSTEMI 174
SUMMARY 179
REFERENCES 179
Chapter 4. The Generations of Drug-Eluting Stents and Outcomes in Women 183
DEVELOPMENT OF CORONARY STENTING 183
FIRST GENERATION OF DES 183
SECOND GENERATION OF DES 188
NEXT-GENERATION STENTS 189
SUMMARY 191
REFERENCES 191
Chapter 5. PCI Outcomes in High-Risk Groups (Diabetes Mellitus, Smoker, Chronic Kidney Disease and the Elderly) 197
WHAT IS HIGH-RISK PCI? 198
SUMMARY 202
REFERENCES 202
Chapter 6. Vascular Complications in Women and the Radial Approach 207
GENDER DIFFERENCES 207
CLINICAL AND PROCEDURAL PREDICTORS 208
USE OF ANTITHROMBOTIC AGENTS IN WOMEN 208
RADIAL APPROACH 208
SUMMARY 210
REFERENCES 210
Chapter 7. Is Stenting an Appropriate Therapy in Women Presenting with Acute Coronary Syndrome? A Pathologist’s Perspective 213
HISTOPATHOLOGY OF ACS AND THROMBOSIS 214
HISTOPATHOLOGY OF STENTED CORONARY ARTERY 216
REFERENCES 220
Chapter 8. Does Gender have an Influence on Platelet Function and the Efficacy of Oral Antiplatelet Therapy? 223
GENDER-RELATED DIFFERENCE IN PLATELET REACTIVITY 225
GENDER-RELATED DIFFERENCE IN PLATELET REACTIVITY 226
ANTIPLATELET RESPONSE TO ASPIRIN IN WOMEN 227
ANTIPLATELET RESPONSE TO ASPIRIN AND CLOPIDOGREL IN WOMEN 227
SUMMARY 228
REFERENCES 228
Chapter 9. Cardiogenic Shock in Women 231
THE SCOPE OF THE PROBLEM 231
CAUSES OF CARDIOGENIC SHOCK 232
RISK FACTORS FOR DEVELOPMENT OF CARDIOGENIC SHOCK 232
PATHOPHYSIOLOGY 232
CARDIOGENIC SHOCK IN SPECIAL SITUATIONS 234
THERAPEUTIC OPTIONS 235
SUMMARY 239
REFERENCES 239
Chapter 10. Percutaneous Valve Therapy: Choosing the Appropriate Patients and Outcomes 245
GENDER DIFFERENCES IN TREATMENT AND OUTCOME IN SEVERE AS 246
GENDER DIFFERENCES IN PERCUTANEOUS AORTIC VALVE IMPLANTATION 246
GENDER DIFFERENCES IN THE ITALIAN PERCUTANEOUS AORTIC VALVE REGISTRY 248
SUMMARY 248
REFERENCES 249
Chapter 11. Future Perspectives on Percutaneous Coronary Interventions in Women 251
EPIDEMIOLOGY OF CVD 251
REVASCULARIZATION STRATEGIES 252
CORONARY STENTING IN WOMEN 253
BLEEDING AND VASCULAR COMPLICATIONS 253
CLINICAL RISK SCORES AND WOMEN 254
BARRIERS 254
SUMMARY 255
REFERENCES 256
Index 259