Cardiovascular disease in women: implications for improving health outcomes

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dc.contributor.author Davidson, Patricia en_US
dc.contributor.author Mitchell, Julie Anne en_US
dc.contributor.author Digiacomo, Michelle en_US
dc.contributor.author Inglis, Sally en_US
dc.contributor.author Newton, Phillip en_US
dc.contributor.author Harman, Jenni en_US
dc.contributor.author Daly, John en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-10-12T03:34:27Z
dc.date.available 2012-10-12T03:34:27Z
dc.date.issued 2012 en_US
dc.identifier 2011000868 en_US
dc.identifier.citation Davidson Patricia et al. 2012, 'Cardiovascular disease in women: implications for improving health outcomes', Royal College of Nursing Australia, vol. 19, no. 1, pp. 5-13. en_US
dc.identifier.issn 1322-7696 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/18632
dc.description.abstract This literature review collated data on women and cardiovascular disease in Australia and globally to inform public health campaigns and health care interventions. If found that 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 STsegment-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. Improvement in the prevention and management of CVD in women will require a deeper understanding of womena??s needs by the community, health care professionals, researchers and government. en_US
dc.language en_US
dc.publisher Royal College of Nursing Australia en_US
dc.relation.hasversion Accepted manuscript version en_US
dc.relation.isbasedon http://dx.doi.org/10.1016/j.colegn.2011.12.001 en_US
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.title Cardiovascular disease in women: implications for improving health outcomes en_US
dc.parent Collegian en_US
dc.journal.volume 19 en_US
dc.journal.number 1 en_US
dc.publocation Deakin, Australia en_US
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.for 111000 en_US
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.location.activity en_US
dc.description.keywords women, cardiovascular disease en_US
dc.staffid en_US
dc.staffid 104224 en_US


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