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PubMed · 8982884

The darkness shall be the light.

L L Downs
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Abstract

This case study is the author's attempt to share a cardiac patient's experience in a personal and respectful manner. Case studies ordinarily share all of the medical and physiologic aspects of what is happening to patients and leave out the essence of the person. This is an effort to go beyond the ordinary and see the human being who has had a severe myocardial infarction and now lies in an intensive care unit. The nature of one patient's struggle through darkness may be realized with the use of the patient's own words, information from family members, and the creative expressions of the author.

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Coronary Artery BypassCritical CareHumansMaleMiddle AgedMyocardial InfarctionPostoperative ComplicationsCase ReportsJournal Article

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BibTeXRIS

L L Downs. 1997. The darkness shall be the light.. https://doi.org/10.1097/00005082-199701000-00011

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PubMed2007

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PubMed2007

Current trends in coronary artery disease in women.

PURPOSE OF REVIEW: There are some striking sex differences regarding presentation, symptoms and sign, diagnosis, and treatment of coronary artery disease. Historically, healthcare delivery to women has been plagued with treatment bias favoring men. This review will present relevant cardiovascular physiologic sex differences, current treatment options for coronary artery disease both surgical and medical, and clinical outcomes of such treatments. RECENT FINDINGS: In the past, pharmacologic and interventional studies generally excluded women from their subjects. As a result, women have been traditionally treated based on the findings in their male counterparts. Recent studies examining sex differences in the treatment of coronary artery disease have given new insight into the hormonal and behavioral influences associated with coronary artery disease. Finally, these studies have drawn attention to possibly inadvertent discrepancies in the way men and women are treated for coronary artery disease. SUMMARY: Despite significant advances in medical and surgical approaches to treat coronary artery disease, it remains and will continue to be the most important healthcare challenge of the 21st century. Whereas efforts are underway to encourage inclusion of more women in therapeutic trials, the educational process, particularly in medical school, needs to broadly address sex specific pathophysiology and treatment, rather than relying on sub-subspecialty training for optimizing healthcare delivery in women.

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