Angioplastia coronaria en la mujer

Central Figure:have more comorbidities, whereas men typically present with more complex and increased atheroma plaque burden.3 Finally, it has been identified that both in RCT and in registries regarding revascularization through PTCA, women are underrepresented.More evidence is needed to better address the treatment of coronary heart disease while considering gender differences in strategy and approach to the pathology.We proceed by categorizing evidence on invasive treatment into acute coronary syndromes (ACS) and chronic coronary syndromes (CCS) to better address the subject matter. Acute coronary syndromesACS can present as AMI with ST-T segment elevation (STEMI), as AMI without ST-T elevation (NSTEMI) and as unstable angina, the latter becoming less common due to the high sensitivity of troponins.The typical presentation of ACS with angina does not differ by gender; however, women may experience more prevalence of non-specific symptoms, such as dyspnea or fatigue.Additionally, women tend to seek medical attention later or may not be diagnosed as quickly as men, as previously detailed.3Once it is decided to treat the patient in the catheterization room, the access strategy must be evaluated.Radial approach has been shown to reduce bleeding, complications and mortality in both women and men and should be recommended in most cases.4Coronary angioplasty in women... Rubilar B., y cols.