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尽管相当多的人力、物力用于研究男性冠状动脉心脏疾病(CHD),但对女性CHD的流行病学的了解却甚少,特别是年轻的女性,可能是因发病率低限制了数据的分析。但在70年代观察激素紊乱和口服避孕药与心肌梗塞(MI)之间的关系时才引起对上述问题的兴趣。从此,广泛地研究了女性CHD的流行病学和临床表现,发现男性和女性人群之间的一些重要差别。总的说来,男性CHD的发病率和死亡率较高。但CHD仍然是女性死亡的主要原因,约占女性死亡的1/3,CHD的死亡比例随年龄而增加,70岁时达60％。
Despite considerable human and material resources used to study coronary heart disease (CHD) in men, little is known about the epidemiology of CHD in women, especially in younger women, which may be due to limited morbidity . However, the observation of hormonal disorders and the relationship between oral contraceptives and myocardial infarction (MI) in the seventies elicited interest in the above issues. Since then, the epidemiology and clinical presentation of female CHD has been extensively studied and some important differences between men and women have been found. Overall, the incidence and mortality of CHD in males is high. CHD is still the main cause of female death, accounting for about one third of female deaths. The CHD death rate increases with age and reaches 60% at the age of 70.