The size (diameter) of the coronary artery is also important in bypass surgery and angioplasty with patients with larger arteries doing better than those with smaller arteries. Women tend to have smaller arteries then men.
One aspect of the care of women with CAD that is different than the care of men is that the presenting symptoms are more frequently atypical in nature. The typical chest pressure and heaviness that is typical of angina may not be present in women who present with CAD. This makes diagnosis more difficult and often delays the time from presentation to diagnosis.
Mitral Valve Prolapse
Mitral valve prolapse is common in women and men. This disorder of the mitral valve may be associated with symptoms of chest pains, palpitations, fatigue and other symptoms. Symptoms are often treated with an exercise program and sometimes drugs called beta-blockers are used. If exercise programs are followed, MVP may be well controlled and a normal life style can be followed. Unlike in the past, recent guidelines do not recommend antibiotic prophylaxis before surgery or dental work.
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