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Vakhtangadze et al. Vessel Plus 2017;1:43-8                                       Vessel Plus
           DOI: 10.20517/2574-1209.2016.05
                                                                                                  www.vpjournal.net
            Editorial                                                                           Open Access


           Myocardial ischemia in women: problems

           and challenges



           Tamar Vakhtangadze , Nino Gakhokidze
                             1
                                              2
           1 Research Institute of Clinical Medicine, Tbilisi Medical Academy, Caucasian International University, Tbilisi 0113, Georgia.
           2 AIETI Medical School, Dighomi, Tbilisi 0159, Georgia.
           Correspondence to:  Prof. Tamar Vakhtangadze, Research Institute of Clinical Medicine, Tbilisi Medical Academy, Caucasian International
           University, Tevdore Mgvdeli street 13, Tbilisi 0113, Georgia. E-mail: tamarvakh@yahoo.com
           How to cite this article: Vakhtangadze T, Gakhokidze N. Myocardial ischemia in women: problems and challenges. Vessel Plus 2017;1:43-8.

           Article history: Received: 25-09-2016      Accepted: 26-12-2016      Published: 27-06-2017

                             Dr. Tamar Vakhtangadze is an Associate Professor of Tbilisi Medical Academy, Assistant Professor of
                             Caucasus International University, Cardiologist at Research Institute of Clinical Medicine, Head of Cardiology
                             Service at Medical Centre of GEOSWISS, Head of Outpatient Cardiology Service at St. Joakim and Anna
                             Medical Centre. She is the Fellow of European Society Cardiology, member of the board of Georgian Society
                             of Cardiology, Head of working group on women’s cardiovascular morbidity of Georgian Society of Cardiology,
                             member of the board of Georgian Society of Atherosclerosis, Executive Director of Georgian Society of
                             Atherosclerosis, member of editorial board of journal “Actual Topics of Women’s Health”. She is author of more
                             than 60 publications. Her main fields of interest include ischemic heart disease, atherosclerosis, heart failure,
                             cardiomyopathies, women’s cardiovascular health, and noninvasive imaging.

           INTRODUCTION                                       affects  men. However,  over the last two decades,
                                                              it has been revealed  women have higher  rates of
           Even in the 21st century, cardiovascular disease (CVD)   cardiovascuar  morbidity and mortality.  For example,
           remains an important public health issue because it is   49% of European women die from CVD, compared
           associated with high rates of mortality and morbidity. [1-5]    with 41% of men.   At present, the basic statistical
                                                                               [3]
           In addition, the costs of treating and managing these   facts are as follows: [1,3,5,8]
           patients are very high, as such patients have a constant   • Worldwide,  one-third  of  all  deaths  among
           need for  medical treatment  and their management   women are due to CVD, with up to 8.6 million women
           often requires sophisticated and expensive  tests.    dying from CVD each year. Furthermore, stroke kills
                                                          [6]
           The use of preventive measures, identification of high-  more women than men (11% vs. 8.4%).
           risk groups,  early diagnosis, and treatment of women    • More  than  two-thirds  (approximately  42%)
                     [7]
           presenting with cardiovascular problems can all have   of women who have heart attacks die within 1 year,
           a  significant  influence  on  reducing  cardiovascular   compared with 24% of men.
           mortality, morbidity, and treatment costs, as has been   • Under  the  age  of  50  years,  women  have
           shown in various countries.                        double the risk of death after a heart attack than men.
                                                                    • Heart attack and heart failure kill 6 times more
           For a long time, it was thought that CVD predominantly   women than breast cancer every year.

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