Clinical Updates in Women’s Health Care Summary: Ischemic Heart Disease: Primary and Preventive Care Review

• Published in: Obstetrics and gynecology (New York. 1953) Vol. 130; no. 5; p. 1180
• Main Authors: Fuller, Brittany S, Carlyle, Lynn, Voeltz, Michele D
• Format: Journal Article
• Language: English
• Published: United States by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved 01.11.2017
• Subjects: Female; Humans; Myocardial Ischemia; Primary Health Care
• ISSN: 0029-7844; 1873-233X
• DOI: 10.1097/AOG.0000000000002397

ABSTRACTCardiovascular disease is the leading cause of death among women in the United States. Obstetrician–gynecologists often are the sole health care providers for otherwise healthy women. Therefore, they must be aware of risk factors, signs, and symptoms of cardiovascular disease and be prepared to recognize and treat this condition in patients as well as provide referrals when specialized care is indicated. Women with cardiac problems typically present with chest discomfort; however, they also are more likely than healthy women to present with other common symptoms, such as shortness of breath, back pain, jaw pain, or nausea and vomiting. This monograph, with a primary focus on ischemic heart disease (IHD), discusses the basic anatomy of the heart and coronary arteries; vascular biology; pathogenesis of atherosclerosis; and the screening, prevention, diagnosis, and treatment of IHD as well as the multiple risk factors associated with the development of IHD that contribute to both increased morbidity and mortality.