The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

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Women and ischaemic heart disease: treat her like a lady!

EuroIntervention 2018;14:1084-1086. DOI: 10.4244/EIJV14I10A195

Department of Cardiology, Radboudumc, Nijmegen, the Netherlands


Since the publication of the first landmark studies on sex and gender differences in the management of acute coronary syndromes (ACS) in 1991, this fascinating topic has never left my mind1,2. Having been a cardiologist for three years at the time, I was increasingly asked by my female patients why I could not answer their questions on the origin of their symptoms and why I did not have appropriate treatment options. During the 1980s, I had learned in my cardiology training that women with chest pain were “weird” with strange and atypical symptoms. They almost never fitted into the diagnostic ...

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