Coronary disease in women.

Myocardial infarction is uncommon in younger women in the absence of coronary risk factors; cigarette smoking and diabetes mellitus are major contributors to coronary risk. The presentation of coronary disease in women is more likely to be angina pectoris than myocardial infarction or sudden death. Myocardial infarction in women is characterized by increased morbidity and mortality, an excess of congestive heart failure, and a less favorable response to coronary bypass surgery. Psychosocial complications are greater and return to work is less likely.