Fisiopatología de los síndromes coronarios agudos en la mujer

Coronary Anatomy and Microvascular DysfunctionOn average, women have smaller left ventricle size and coronary arteries than men.This anatomical difference can make coronary angiography diffi cult to diagnose because smaller arteries are more susceptible to misinterpretation during angiographic studies.Women have a higher prevalence of microvascular dysfunction, characterized by a decrease in coronary fl ow reserve and endothelial dysfunction, leading to myocardial ischemia without signifi cant obstructions.Infl ammatory response is key in the pathophysiology of ACS.Central Figure: Pathophysiology of Acute Coronary Syndrome: Pathophysiological mechanisms underlying Acute Coronary Syndrome, highlighting the diff erences in the presentation and evolution of the disease in women.