尽管危险因素相同,不少医生认为女性不同于男性,仍将女性划为低危者,其结果是女性得到更少的预防治疗建议。对非典型胸痛、冠状动脉造影正常或近乎正常者并非预后良好,错误的信息导致女性患者甚至医生忽视心脏问题。过去若干年,医学研究关注男性阻塞性冠状动脉病变,而忽视女性非典型症状特点。近年研究显示,非阻塞性冠状动脉病变在女性更为常见,预后不容乐观,对此问题值得密切关注。
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(2007-03-01收稿;2007-03-26修回)