Sex-specific risk factors for cardiovascular disease in women-making cardiovascular disease real

被引:23
|
作者
Merz, C. Noel Bairey [1 ]
Ramineni, Tina [1 ]
Leong, Derek [1 ]
机构
[1] Cedars Sinai Smidt Heart Inst, Barbra Streisand Womens Heart Ctr, 127 S San Vicente Blvd,Suite A3206, Los Angeles, CA 90048 USA
关键词
cardiovascular disease; sex and sex medicine; sex-specific risk factors; CORONARY-HEART-DISEASE; CAUSE-SPECIFIC MORTALITY; LONG-TERM; ALL-CAUSE; DIABETES-MELLITUS; CIGARETTE-SMOKING; HORMONE-THERAPY; BLOOD-PRESSURE; METAANALYSIS; HEALTH;
D O I
10.1097/HCO.0000000000000543
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of reviewSex-specific differences in pathophysiology, prevalence, and impact of cardiovascular disease (CVD) risk factors may explain the high cardiovascular mortality rates in women.Recent findingsWe review the sex differences in traditional risk factors (dyslipidemia, hypertension, diabetes, and smoking) and nontraditional risk factors (menopause and hormones, pregnancy, inflammation and autoimmune diseases, anemia, depression, and migraines) and their prognostic and therapeutic implications.SummaryRecent research indicates that with respect to traditional risk factors such as dyslipidemia, hypertension, diabetes, and smoking, women appear to have a similar risk of CVD when compared to men. The risk is accelerated after menopause, possibly because of vascular and lipid profile changes. Pregnancy offers a unique opportunity and window to screen otherwise healthy women who may be at an increased risk of CVD in the future. Clinicians should be aware of other novel risk factors including inflammation, anemia, migraines, and depression, and further studies are warranted in order to identify therapeutic implications for these conditions and CVD risk.
引用
收藏
页码:500 / 505
页数:6
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