Women have been considered to be at higher risk for coronary angioplas
ty, with higher complication and mortality rates, as reported by the f
irst National Heart, Lung and Blood Institute registry on percutaneous
transluminal coronary angioplasty. However, there is evidence that a
sex bias exists in the management of coronary heart disease: women are
significantly less likely to undergo coronary angiography unless a co
mplication arises, i.e. unstable angina or myocardial infarction. Wome
n selected for angioplasty are therefore older, and at high risk for p
rocedure related complications. Recent reports show similar primary su
ccess and complication rate, despite older age and greater prior funct
ional disability from angina.