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Current Cardiology Reports

Acute Coronary Syndrome in Women: An Update

Published in:
Authors
Madeleine R. Alder
Kylie E. Adamek
Angela Lowenstern
Leah M. Raj
Kathryn J. Lindley
Nadia R. Sutton
Published in
Current Cardiology Reports | Issue 5/2024

Abstract

Purpose of Review

The goal of this manuscript is to provide a concise summary of recent developments in the approach to and treatment of women with acute coronary syndrome (ACS).

Recent Findings

This review covers terminology updates relating to ACS and myocardial injury and infarction. Updates on disparities in recognition, treatments, and outcomes of women with ACS due to atherosclerotic coronary artery disease are covered. Other causes of ACS, including spontaneous coronary artery dissection and myocardial infarction with non-obstructive coronary artery disease are discussed, given the increased frequency in women compared with men. The review summarizes the latest on the unique circumstance of ACS in women who are pregnant or post-partum, including etiologies, diagnostic approaches, medication safety, and revascularization considerations.

Summary

Compared with men, women with ACS have unique risk factors, presentations, and pathophysiology. Treatments known to be effective for men with atherosclerosis-related ACS are also effective for women; further work remains on reducing the disparities in diagnosis and treatment. Implementation of multimodality imaging will improve diagnostic accuracy and allow for targeted medical therapy in the setting of myocardial infarction with non-obstructive coronary artery disease.
Title
Acute Coronary Syndrome in Women: An Update
Authors
Madeleine R. Alder
Kylie E. Adamek
Angela Lowenstern
Leah M. Raj
Kathryn J. Lindley
Nadia R. Sutton
Publication date
11-03-2024
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This content is intended for healthcare professionals outside of the UK.

Independent Medical Education Grant:
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Learn more Link opens in a new window
Image Credits
Pregnant woman receiving cardiogram measurement/© Анна Ковальчук / stock.adobe.com (symbolic image with model), Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME