ABSTRACT

KEY POINTS ■ Coronary heart disease (CHD) is the leading cause of death among women and men. ■ Many gender differences in anatomical and physiological aspects of CHD have been described,

but mechanisms remain poorly understood. ■ While most women will present with typical chest discomfort and accompanying symptoms, cli-

nicians should be alert to atypical symptom constellations among women (and men), interpret symptoms in the context of the overall risk profile, and follow up with appropriate diagnostic testing.