title: [Is the coronary artery disease in woman so different from the man].
abstract: Clinical presentation and symptoms of coronary artery disease may vary according to gender. This is not true to the same extent for acute coronary syndromes. The diagnosis is more complex in women because they show less often a typical clinical picture. In spite of these gender-related clinical differences, no diagnostic strategy in the detection of the coronary artery disease is recommended for women. Because "standard" treadmill or bicycle ECG stress test has a low specificity in women, non-invasive imaging (stress echocardiography, myocardial scintigraphy or cardiac magnetic resonance) should be preferred for the evaluation of myocardial ischemia in women.
authors.affiliation: L'Hôpital de la Tour, Rue de I'Université I, 1205 Geneve. s.ciaroni.card@bluewin.ch
authors.forename: S
authors.initials: S
authors.lastname: Ciaroni
mesh_terms: D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000503:physiopathology; D025401:Echocardiography, Stress / Q000379:methods; D005080:Exercise Test / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000503:physiopathology; D055414:Myocardial Perfusion Imaging / Q000379:methods; D012737:Sex Factors