William Arputha Sundar A S

Over the past years it has been recognized that women are more susceptible to coronary heart disease than men and it should be acknowledged in the management and assessment of coronary heart disease. Then there is a remarkable progress in the knowledge of cardiovascular risk factors related to gender. Triglycerides, high density lipoproteins levels, diabetes have been found to have greater Influence on coronary heart disease in women than men. But certain evidence showing that lipoprotein is a stronger cardiovascular risk factor in men compared to women. Risk factor control in patient with CHD remains poor, especially for obesity, smoking, and blood pressure in spite of guidelines. Patient should initiate or maintain lifestyle modification- weight control, increased physical activity, moderation of alcohol intake, limited sodium consumption, maintenance of a diet high in fresh fruits, low fat dairy products etc. Long acting drugs also minimize blood pressure variability and this may offer protection against progression of target organ damage and cardiovascular events. This review article addresses the impact of cardiovascular risk factors on both men and women and management of coronary heart disease.