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J Thorac Cardiovasc Surg 2004;127:314-317
© 2004 The American Association for Thoracic Surgery

Editorial

Incidence of peripheral vascular disease in women: Is it different from that in men?

^a Division of Vascular Surgery, University of Maryland, Baltimore, Md, USA
^b Division of TCV Surgery, University of Virginia Health System, Charlottesville, Va, USA
^c Department of Vascular Surgery, the Cleveland Clinic Foundation, Cleveland, Ohio, USA
^d Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Md, USA
^e Section of Vascular Surgery, Yale University School of Medicine, New Haven, Conn, USA

Received for publication September 29, 2003; accepted for publication October 6, 2003.

^* Address for reprints: Vivian Gahtan, MD, SUNY Upstate Medical University College of Medicine, Department of Surgery, 750 East Adams St, Syracuse, NY 13210 , USA
gahtanv@upstate.edu

The first 300 words of the full text of this article appear below.

Editorial Note: The gender initiative continues with editorials addressing noncardiac vascular surgery: (1) Experts discuss sex-based differences in the prevalence of vascular disease; (2) the pathophysiology, risks, and benefits of surgical treatment of carotid disease in women; (3) the need for clarifying optimal timing for surgical repair of abdominal aortic aneurysms in women and for refining endovascular repair technology for small patients; and (4) current outcomes (limb salvage, graft patency, and mortality) and future research in women with peripheral arterial occlusive disease. The series continues next month with editorials on end-stage heart failure. Nancy A. Nussmeier, MD Texas Heart Institute

 

Knowledge of the clinical consequences of atherosclerosis and cardiovascular disease has grown tremendously over the years. Most persons, patients and physicians alike, understand and accept the critical importance of heart disease, yet the significance of noncardiac vascular disease remains largely underappreciated. The 3 major areas of noncardiac vascular disease include carotid artery occlusive disease, aortic aneurysmal disease, and peripheral arterial occlusive disease (PAD). These diseases, with their associated risks of stroke, limb loss, and death, are often undiagnosed and untreated despite being common causes of death and loss of function in the United States. Although previous studies have reported that the prevalence of vascular disease is greater in men than in women, that gap closes quickly with increasing age. As the American population ages, the prevalence of noncardiac vascular disease in women will increase, making it a leading cause of mortality and morbidity for women. The importance of disease prevention and detection of noncardiac vascular disease in women cannot be overlooked. To date, few studies have focused on the prevalence and importance of vascular disease in women.

Carotid artery occlusive disease

Stroke is the third leading cause of death in the United States and a leading cause of permanent disability among older Americans. Nearly . . . [Full Text of this Article]

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