3 years ago

Clinical Updates in Women’s Health Care Summary: Ischemic Heart DiseasePrimary and Preventive Care Review

Carlyle, Lynn, Fuller, Brittany S., Voeltz, Michele D.
AbstractCardiovascular disease is the leading cause of death among women in the United States. Obstetrician–gynecologists often are the sole health care providers for otherwise healthy women. Therefore, they must be aware of risk factors, signs, and symptoms of cardiovascular disease and be prepared to recognize and treat this condition in patients as well as provide referrals when specialized care is indicated. Women with cardiac problems typically present with chest discomfort; however, they also are more likely than healthy women to present with other common symptoms, such as shortness of breath, back pain, jaw pain, or nausea and vomiting. This monograph, with a primary focus on ischemic heart disease (IHD), discusses the basic anatomy of the heart and coronary arteries; vascular biology; pathogenesis of atherosclerosis; and the screening, prevention, diagnosis, and treatment of IHD as well as the multiple risk factors associated with the development of IHD that contribute to both increased morbidity and mortality. This document provides a clinically oriented overview of a condition or issue that affects women’s health. It was developed by the American College of Obstetricians and Gynecologists’ Editorial Board for Clinical Updates in Women’s Health Care in collaboration with Brittany S. Fuller, MD; Lynn Carlyle, MD; and Michele D. Voeltz, MD. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. It is not intended to substitute for the independent professional judgment of the treating clinician. Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. The College reviews its publications regularly; however, its publications may not reflect the most recent evidence. Any updates to this document can be found on www.clinicalupdates.org or by calling the College’s Resource Center. While the College makes every effort to present accurate and reliable information, this publication is provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. The College does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither the College nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented. The full-text version of this document is available at www.clinicalupdates.org Copyright November 2017 by the American College of Obstetricians and Gynecologists. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without prior permission from the publisher. Requests for authorization to make photocopies should be directed to Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400. The American College of Obstetricians and Gynecologists 409 12th Street SW, PO Box 96920 Washington, DC 20090-6920 Official Citation: Fuller BS, Carlyle L, Voeltz MD. Ischemic heart disease: summary. Clinical Updates in Women’s Health Care. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017;130:1180. Received October 06, 2017 Accepted October 06, 2017 © 2017 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.
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