Cardiovascular disease in women: Implications for improving health outcomes

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dc.contributor.author Davidson, PM
dc.contributor.author Mitchell, JA
dc.contributor.author DiGiacomo, M
dc.contributor.author Inglis, SC
dc.contributor.author Newton, PJ
dc.contributor.author Harman, J
dc.contributor.author Daly, J
dc.date.accessioned 2012-10-12T03:34:27Z
dc.date.issued 2012-01
dc.identifier.citation Collegian, 2012, 19 (1), pp. 5 - 13
dc.identifier.issn 1322-7696
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18632
dc.description.abstract Objective: To collate data on women and cardiovascular disease in Australia and globally to inform public health campaigns and health care interventions. Design: Literature review. Results: •Women with acute coronary syndromes show consistently poorer outcomes than men, independent of comorbidity and management, despite less anatomical obstruction of coronary arteries and relatively preserved left ventricular function. Higher mortality and complication rates are best documented amongst younger women and those with ST-segment-elevation myocardial infarction.•Sex differences in atherogenesis and cardiovascular adaptation have been hypothesised, but not proven.•Atrial fibrillation carries a relatively greater risk of stroke in women than in men, and anticoagulation therapy is associated with higher risk of bleeding complications.•The degree of risk conferred by single cardiovascular risk factors and combinations of risk factors may differ between the sexes, and marked postmenopausal changes are seen in some risk factors.•Sociocultural factors, delays in seeking care and differences in self-management behaviours may contribute to poorer outcomes in women.•Differences in clinical management for women, including higher rates of misdiagnosis and less aggressive treatment, have been reported, but there is a lack of evidence to determine their effects on outcomes, especially in angina.•Although enrolment of women in randomised clinical trials has increased since the 1970s, women remain underrepresented in cardiovascular clinical trials. Conclusions: Improvement in the prevention and management of CVD in women will require a deeper understanding of women's needs by the community, health care professionals, researchers and government. © 2011 Royal College of Nursing, Australia.
dc.language eng
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon 10.1016/j.colegn.2011.12.001
dc.rights NOTICE: This is the author’s version of a work that was accepted for publication by Elsevier. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published by Elsevier. en_US
dc.subject Australia, Cardiovascular disease, Women, Women, Cardiovascular disease, Australia, Humans, Cardiovascular Diseases, Women's Health Services, World Health, Healthcare Disparities, Outcome Assessment (Health Care), Risk Factors, Sex Factors, Female, Cardiovascular Diseases, Female, Global Health, Healthcare Disparities, Humans, Outcome Assessment (Health Care), Risk Factors, Sex Factors, Women's Health Services, women, cardiovascular disease, Nursing
dc.subject Australia; Cardiovascular disease; Women; Women; Cardiovascular disease; Australia; Humans; Cardiovascular Diseases; Women's Health Services; World Health; Healthcare Disparities; Outcome Assessment (Health Care); Risk Factors; Sex Factors; Female; Cardiovascular Diseases; Female; Global Health; Healthcare Disparities; Humans; Outcome Assessment (Health Care); Risk Factors; Sex Factors; Women's Health Services; women, cardiovascular disease; Nursing
dc.title Cardiovascular disease in women: Implications for improving health outcomes
dc.type Journal Article
dc.parent Collegian
dc.journal.volume 1
dc.journal.volume 19
dc.journal.number 1 en_US
dc.publocation Deakin, Australia en_US
dc.publocation Berlin/Heidelberg
dc.identifier.startpage 5 en_US
dc.identifier.endpage 13 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.conference International Conference on Interactive Digital Storytelling
dc.for 1110 Nursing
dc.personcode 110950 en_US
dc.personcode 0000073148 en_US
dc.personcode 111875 en_US
dc.personcode 111643 en_US
dc.personcode 111808 en_US
dc.personcode 0000076387 en_US
dc.personcode 104224 en_US
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.date.activity 2011-11-29
dc.location.activity en_US
dc.location.activity Vancouver, Canada
dc.description.keywords women, cardiovascular disease en_US
dc.description.keywords Interaction Design, Creativity Support Tool, Interactive Digital Storytelling, Narrative Intelligence, Conversational Information System, Cybernetics.
dc.description.keywords Australia
dc.description.keywords Australia
dc.description.keywords Cardiovascular disease
dc.description.keywords Cardiovascular disease
dc.description.keywords Women
dc.description.keywords Women
dc.description.keywords Australia
dc.description.keywords Cardiovascular disease
dc.description.keywords Women
dc.description.keywords Australia
dc.description.keywords Cardiovascular disease
dc.description.keywords Women
dc.description.keywords Australia
dc.description.keywords Cardiovascular disease
dc.description.keywords Women
dc.staffid en_US
dc.staffid 104224 en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research


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