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Update in Women's Health
- Judith M.E. Walsh, MD, MPH;
- Nancy C. Dolan, MD; and
- Pamela Charney, MD
- From the University of California, San Francisco, San Francisco, California; Northwestern University Medical School, Chicago, Illinois; and Norwalk Hospital, Norwalk, Connecticut.
- Coronary disease
- Women's health
- Osteoporosis
- Breast neoplasms
- Estrogen replacement therapy
- Domestic violence
2000-2001 Series: Update Sessions from ACP-ASIM's 2000 Annual Session
Margaret Ring Gillock, Editor; David Cramer, MD, Co-Editor; and Paul T. Kefalides, MD, Co-Editor
Many important articles on a variety of women's health topics were published in 1999. We chose articles that addressed issues common or unique to women and those whose results could potentially change clinical practice. The main areas of focus for this year's Update are coronary heart disease, osteoporosis, breast cancer prevention, hormone replacement therapy (HRT) and oral contraceptives, weight loss, cancer screening, domestic violence, and sexual dysfunction. Many of the articles focus on prevention of disease: What is the role of raloxifene in prevention of osteoporosis? What are the best choices for breast cancer prevention? Should we screen for ovarian cancer? Is lifestyle activity modification useful in obese women? Other articles that focus on domestic violence and the prevalence of sexual dysfunction emphasize the importance of physician education and awareness in discussing these topics with our patients. Each article has important implications for the practicing internist.
Coronary Heart Disease
Coronary heart disease is the leading cause of death in the United States, and half of all deaths from this disease occur in women. Sex-based differences have been considered important in the outcome of myocardial infarction, but previous evidence has not been conclusive about short-term mortality after myocardial infarction.
Clinical Presentation and 30-Day Mortality Differ among Men and Women with Coronary Heart Disease
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Hochman JS, Tamis JE, Thompson TD, et al. Sex, clinical presentation, and outcome in patients with acute coronary syndromes. Global Use of Strategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes IIb Investigators. N Engl J Med. 1999; 341:226-32.
Many studies have reported that short-term mortality after myocardial infarction is higher in women than in men (1). Hochman and colleagues conducted a prospective subgroup analysis within the Global Use of Strategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes …
