Filippo Zilio, Francesca Musella, Laura Ceriello, Giuseppe Ciliberti, Daniela Pavan, Maria Teresa Manes, Adelina Selimi, Pietro Scicchitano, Gianmarco Iannopollo, Stefano Albani, Federico Fortuni, Massimo Grimaldi, Furio Colivicchi, Fabrizio Oliva
Cardiovascular conditions in the spectrum of acute coronary syndromes are characterized by sex differences with regard to pathophysiology, risk factors, clinical presentation, invasive and pharmacologic treatment, and outcomes. This review delves into these differences, including specific subsets like myocardial infarction with non-obstructive coronary arteries or Spontaneous Coronary Artery Dissection, and alternative diagnoses like Takotsubo cardiomyopathy or myocarditis. Moreover, practical considerations are enclosed, on how a sex-specific approach should be integrated in clinical practice: in fact, personal history should focus on female-specific risk factors, and hormonal status and hormonal therapy should be assessed...
February 28, 2024: Current Problems in Cardiology