Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Mar 14;20(2):59-69.
doi: 10.14797/mdcvj.1368. eCollection 2024.

Cardiomyopathies in Women

Affiliations
Review

Cardiomyopathies in Women

Cindy M Martin. Methodist Debakey Cardiovasc J. .

Abstract

Heart failure affects over 2.6 million people in the United States. While women have better overall survival rates, they also suffer from higher morbidity as shown by higher rates of hospitalization and worse quality of life. Several anatomical differences in women's hearts affect both systolic and diastolic cardiac physiology. Despite these findings, women are significantly underrepresented in clinical trials, necessitating extrapolation of data from males. Because women have sex-specific etiologies of heart failure and unique manifestations in genetic-related cardiomyopathies, meaningful sex-related differences affect heart failure outcomes as well as access to and outcomes in advanced heart failure therapies in women. This review explores these gender-specific differences and potential solutions to balance care between women and men.

Keywords: cardiovascular disorders of pregnancy; genetic cardiomyopathy; heart disease in women; heart failure; sex-related differences.

PubMed Disclaimer

Conflict of interest statement

The author has no competing interests to declare.

Figures

Overview of cardiopathies in women with sex-related differences
Figure 1
An overview of cardiopathies in women and sex-related differences in diagnoses, treatments, and outcomes.

References

    1. Virani SS, Alonso A, Aparicio HJ, et al. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation. 2021. Feb 23;143(8):e254-e743. doi: 10.1161/CIR.0000000000000950 - DOI - PubMed
    1. Dewan P, Rørth R, Jhund PS, et al. Differential Impact of Heart Failure With Reduced Ejection Fraction on Men and Women. J Am Coll Cardiol. 2019. Jan 8;73(1):29-40. doi: 10.1016/j.jacc.2018.09.081 - DOI - PubMed
    1. Leo I, Nakou E, de Marvao A, Wong J, Rucciarelli-Ducci C. Imaging in Women with Heart Failure: Sex-specific Characteristics and Current Challenges. Card Fail Rev. 2022. Sep 23;8:e29. doi: 10.15420/cfr.2022.17 - DOI - PMC - PubMed
    1. White-Williams C., Rossi LP, Bettner VA, et al. Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2020. Jun 2;141(22):e841-e863. doi: 10.1161/CIR.0000000000000767 - DOI - PubMed
    1. Adamo M, CM Lombardi, Metra M. May 2020 at a glance: ischaemic heart failure and sex-related differences. Eur J Heart Fail. 2020. May;22(5):761-762. doi: 10.1002/ejhf.1513 - DOI - PubMed