Young Women With CAD Need Repeat Procedures More Often Than Men

MedicalResearch.com Interview with:

Dr. Robert L. Wilensky MD Director, Interventional Cardiology Research Director, Interventional Cardiology Training Program Professor of Medicine Hospital of the University of Pennsylvania

Dr. Robert Wilensky

Dr. Robert L. Wilensky MD
Director, Interventional Cardiology Research
Director, Interventional Cardiology Training Program
Professor of Medicine Hospital of the University of Pennsylvania

Medical Research: What is the background for this study?

Dr. Wilensky: We wanted to evaluate whether young women, under the age of 50 years, had an increased risk for recurrent ischemic events after percutaneous coronary intervention (PCI) compared to young men or older women.

Medical Research: What are the main findings?

 Dr. Wilensky: Despite having less severe coronary artery disease,  had an increased risk of repeated events, generally need for repeat PCI in either the exact location of the original procedure or within the artery that underwent the procedure. This despite the finding that young women were treated with the same medications as young men.

Medical Research: What should clinicians and patients take away from your report?

 Dr. Wilensky: When young women present with symptoms of chest pain due to underlying heart disease and undergo a procedure it is important that the treating physicians understand that these women are at increased likelihood of a return of symptoms so that education regarding the presence of heart disease, treatment of the underlying disease, use of proper medications and vigilance is imperative.

Medical Research: What recommendations do you have for future research as a result of this study?

 Dr. Wilensky: Young women with heart disease represent a small but important group of patients in which the cause is poorly understood. Future research is necessary to understand these causes.

Medical Research: Is there anything else you would like to add?

 Dr. Wilensky: Because of their many years of remaining life expectancy and their role in child rearing, young women with coronary artery disease are a population that warrants special attention.

Citation:

Sex Differences in Outcomes Following Percutaneous Coronary Intervention According to Age

Kelly C. Epps, MD; Elizabeth M. Holper, MD; Faith Selzer, PhD; Helen A. Vlachos; Sarah K. Gualano, MD; J. Dawn Abbott, MD; Alice K. Jacobs, MD; Oscar C. Marroquin, MD; Srihari S. Naidu, MD; Peter W. Groeneveld, MD, MS; Robert L. Wilensky, MD

Circ Cardiovasc Qual Outcomes. 2016;9:S16S25,doi:10.1161/CIRCOUTCOMES.115.002482

 

Dr. Robert L. Wilensky MD (2016). Young Women With CAD Need Repeat Procedures More Often Than Men MedicalResearch.com

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