BMJ 1994;309:555-557 (3 September)

Editorials

Coronary artery disease and women

Coronary artery disease is now the commonest cause of death in women in many countries, including Britain and the United States.1 Its incidence increases with age, rising rapidly after the menopause2: by 65 cardiovascular disease is equally common in men and women. As the proportion of older women in the population increases so the incidence of cardiovascular disease will increase. In the United States cardiovascular disease now kills proportionately more women than men.3 Before the age of 65 coronary artery disease is half as common in women as men, affecting affecting one in nine women aged 45 to 64. But coronary artery disease also affects premenopausal women - a quarter of the deaths from myo-cardial infarction in women under 65 occur in women under 45.

The first hurdle in assessing coronary artery disease in women is to increase awareness of its existence - both among doctors and among women . . . [Full text of this article]


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