Similarity between women and men in manifestation of myocardial ischemia during exercise.
We assessed the effect of gender on the electrocardiographic changes and thallium-201 myocardial perfusion during exercise in patients with coronary artery disease. Eighty-nine patients with coronary artery disease (50% or greater diameter narrowing of one or more major coronary arteries) who had undergone exercise thallium scintigraphy were retrospectively studied. There were 29 women and 60 men. Fifty-six patients had one-vessel disease, 11 patients had two-vessel disease, and 22 patients had three-vessel disease or left main disease. The extent of coronary artery disease was assessed by the Gensini score. There was no difference between men and women in age, medications, number of diseased vessels and the coronary artery disease score. Exercise tolerance was lower, although insignificantly in women compared to men. However, exercise heart rate, double product, and the electrocardiographic response were similar in men and women. Also, both the presence and size of exercise-induced perfusion defects were similar in men and women. Thus, the electrocardiographic response to exercise is not influenced by gender in patients with similar extent of coronary artery disease and comparable manifestations of myocardial ischemia.
D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000503:physiopathology*; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging; D006339:Heart Rate; D006801:Humans; D008297:Male; D011868:Radioisotopes; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D012737:Sex Factors; D013793:Thallium
D011868:Radioisotopes; D013793:Thallium