Author Affiliation: Duke Clinical Research Institute, Duke University Medical Center, Durham, NC.
Cardiovascular disease is the principal cause of death for both men
and women. However, since 1984 more women than men have died of this disease.1 Thus, any suggestion that cardiovascular care is biased
against women has major public health implications and must be examined carefully.
If true, such bias would represent a severe failing of the modern medical
system. Since Tobin et al2 reported more than
a decade ago that women with abnormal nuclear exercise studies were referred
far less often than men for cardiac catheterization and coronary artery bypass
graft (CABG) surgery, a host of additional studies have confirmed important
sex-based differences in many aspects of care for coronary artery disease
(CAD).3,4 Some reports have suggested
that these differences are the result of physician bias.
Mark DB. Sex Bias in Cardiovascular Care: Should Women Be Treated More Like Men? JAMA. 2000;283(5):659–661. doi:10.1001/jama.283.5.659
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