Dear Editor,
In the recent article titled, ‘Coronary artery disease in women’, Dr. Pathak LA et al., has elucidated well on sex specific morbidity of coronary artery disease in women.1 While we appreciate the authors’ commendable work for their extensive 6 year research in women, we would like to add few comments.
In the current decade, worldwide there is an increase in the number of women undergoing coronary artery bypass grafting (CABG).2 This is a surrogate marker of the fact that CAD in women is recognised more often and much earlier than in previous years. This has been reflected in our data.3 We compared two groups of women undergoing CABG – group I (1998–2002; n = 293) and group II (2010–2014; n = 395). There was an increase from 11% of the total number of female patients who underwent CABG from Group I to 19.5% from Group II. The mean age is higher and there was increase in the percentage of women having previous PCI in group II. Despite the increase in severity of disease and comorbid conditions, improved outcomes were observed.
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References
- 1.Pathak L.A., Shirodkar S., Ruparelia R., Rajebahadur J. Coronary artery disease in women. Indian Heart J. 2017;69:532–538. doi: 10.1016/j.ihj.2017.05.023. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Merz C.N.B., Kelsey S.F., Pepine C.J. The Women’s Ischemia Syndrome Evaluation (WISE) Study: protocol design methodology and feasibility report. J Am Coll Cardiol. 1999;33:1453–1461. doi: 10.1016/s0735-1097(99)00082-0. [DOI] [PubMed] [Google Scholar]
- 3.Sweta ramani S., Madhu Sankar N., Anto Sahayaraj, Sowmya Ramanan, Cherian K.M. Changing trends in clinical scenario of CABG in Indian Women. Indian J Thorac Cardiovasc Surg. 2016;32(1):65. [Google Scholar]