La réadaptation cardiaque de la femme coronarienne

Abstract

The coronary disease is the leading cause of mortality in women, with 4 to 6 times more deaths than breast cancer. Classically, cardiovascular risk factors show some particularities. Acute coronary syndromes with non-obstructive forms, known as MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries), occur more frequently in women than in men, particularly including coronary spasm, microcirculatory ischemia, spontaneous coronary artery dissections (SCAD), and stress cardiomyopathy (takotsubo). The proven benefits of cardiac rehabilitation on hard endpoints, such as morbidity and mortality, do not prevent it from being underutilized, especially in women. The cardiovascular rehabilitation program must be personalized and adapted.