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Vakhtangadze et al.                                                                                                                                                                       Myocardial ischemia in women

           diagnostic standards. Hence there is no single test that   www.heart.org/idc/groups/ahamah-public/@wcm/@sop/@smd/
           will definitely diagnose ischemia due to microvascular   documents/downloadable/ucm_470704.pdf. [Last Accessed on 2017
           disease in women. [39]  Even after a normal exercise-  Jan 11].
           stress test, further testing may be needed  to gain   6.   Vieira RD, Hueb W, Hlatky M, Favarato D, Rezende PC, Garzillo
                                                                 CL, Lima EG, Soares PR, Hueb AC, Pereira AC, Ramires JA, Kalil
           important  diagnostic  information.  Further research  is   Filho  R. Cost-effectiveness  analysis  for surgical,  angioplasty,  or
           aimed  for  optimizing  the  non-invasive  identification   medical therapeutics for coronary artery disease: 5-year follow-up of
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                                                                 2012;126:S145-50.
           Authors’ contributions                             7.   Heidenreich  PA,  Trogdon  JG,  Khavjou  OA,  Butler  J,  Dracup  K,
           Study design: T. Vakhtangadze                         Ezekowitz  MD,  Finkelstein  EA,  Hong  Y,  Johnston  SC,  Khera  A,
                                                                 Lloyd-Jones DM, Nelson SA, Nichol G, Orenstein D, Wilson PW,
           Data collection: N. Gakhokidze                        Woo  YJ;  American  Heart  Association  Advocacy  Coordinating
           Manuscript writing: T. Vakhtangadze, N. Gakhokidze    Committee; Stroke Council; Council on Cardiovascular Radiology and
           Manuscript review: T. Vakhtangadze                    Intervention; Council on Clinical Cardiology; Council on Epidemiology
                                                                 and Prevention; Council on Arteriosclerosis; Thrombosis and Vascular
           Financial support and sponsorship                     Biology; Council on Cardiopulmonary; Critical Care; Perioperative
                                                                 and Resuscitation; Council on Cardiovascular Nursing; Council on the
           None.                                                 Kidney in Cardiovascular Disease; Council on Cardiovascular Surgery
                                                                 and Anesthesia, and Interdisciplinary Council on Quality of Care and
           Conflicts of interest                                 Outcomes Research. Forecasting the future of cardiovascular disease
           There are no conflicts of interest.                   in the United States: a policy statement from the American Heart
                                                                 Association. Circulation 2011;123:933-44.
                                                              8.   Women’s  Heart  Foundation.  Women  and  heart  disease  facts.
           Patient consent                                       Available  from: http://www.womensheart.org/content/HeartDisease/
           Not applicable.                                       heart_disease_facts.asp. [Last Accessed on 2017 Jan 17].
                                                              9.   Stramba-Badiale M, Fox KM, Priori SG, Collins P, Daly C, Graham
           Ethics approval                                       I, Jonsson B, Schenck-Gustafsson K, Tendera  M. Cardiovascular
                                                                 diseases in women: a statement  from the policy  conference  of the
           Not applicable.                                       European Society of Cardiology. Eur Heart J 2006;27:994-1005.
                                                              10.  Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren M,
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