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European Heart Journal 2003 24(15):1385-1386; doi:10.1016/S0195-668X(03)00285-9
Copyright © 2003 by the European Society of Cardiology.
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Editorial

Diabetes abolishes the gender gap in coronary heart disease

Koon-Hou Maka,* and Steven M Haffnerb

a National Heart Centre, Singapore, Singapore
b University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA

* Correspondence to: Koon-Hou Mak, MBBS, Department of Cardiology, National Heart Centre, 17 Third Hospital Avenue, Singapore 168752. Tel: +65-6-436-7545; fax: +65-6-227-3562
E-mail address: mak_koon_hou@nhc.com.sg

Received 9 May 2003; revised 24 May 2003; accepted 27 May 2003

The first 10% of the full text of this article appears below.

See doi:10.1016/S1095-668X(03)00197-0for the article to which this editorial refers.

Prior to menopause, the incidence of coronary heart disease (CHD) is considerably lower among women than men. One reason to account for this disparity is that males are more likely to be associated with an adverse risk profile. Interestingly, the relative risks conferred by several of the various coronary risk factors, including cholesterol level, diastolic blood pressure, smoking and social class, were approximately similar for both sexes. However, the adverse relationship of other coronary risk factors, such as diabetes, low high-density lipoprotein cholesterol and high triglycerides, was greater in women. Indeed, patients with diabetes, especially women, were twice as likely to suffer from coronary events.1Subsequent data from the Finnish Study suggested . . . [Full Text of this Article]


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