Heart Failure in Women. A Need for Prospective Data

Eileen M. Hsich, Ileana L. Pina

Research output: Contribution to journalArticle

120 Citations (Scopus)

Abstract

Heart failure affects 5 million Americans, and nearly 50% of these are women. Sex differences have been noted regarding the underlying etiology, pathophysiology, and prognosis. Women are less likely to have coronary artery disease and more likely than men to have hypertension and valvular disease as the underlying etiology. They often present at an older age with better systolic function than men. For both sexes, there is significant morbidity, but age-adjusted data reveal that women have a better survival. Despite these known sex differences, medical management recommendations are the same for women and men, because prospective sex-specific clinical trials have not been performed. However, our review raises some concerns that women might respond differently to therapy.

Original languageEnglish (US)
Pages (from-to)491-498
Number of pages8
JournalJournal of the American College of Cardiology
Volume54
Issue number6
DOIs
StatePublished - Aug 4 2009
Externally publishedYes

Fingerprint

Heart Failure
Sex Characteristics
Coronary Artery Disease
Clinical Trials
Hypertension
Morbidity
Survival
Therapeutics

Keywords

  • heart failure
  • sex
  • women

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Heart Failure in Women. A Need for Prospective Data. / Hsich, Eileen M.; Pina, Ileana L.

In: Journal of the American College of Cardiology, Vol. 54, No. 6, 04.08.2009, p. 491-498.

Research output: Contribution to journalArticle

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