[Sex-related differences in the treatment of coronary artery disease].

Overview

Differential outcomes between men and women following the treatment of coronary artery disease are currently under investigation. An increasing amount of evidence supports the concept that the differential anatomical features, functional characteristics, and risk factors between the two sexes should be considered in decision making for the therapeutic strategy to adopt in patients with coronary artery disease. Most risk scores have been developed based on predominantly male populations and might not work well for predicting cardiovascular risk in women. Moreover, there are currently no specific recommendations for a differential diagnostic work-up or treatment based on sex. We review and discuss the latest evidence on the outcomes of men and women undergoing treatment of coronary artery disease by means of percutaneous or surgical revascularization.