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Updated: Aug 26, 2026

An In Vivo Estrogen Deficiency Mouse Model for Screening Exogenous Estrogen Treatments of Cardiovascular Dysfunction After Menopause
Published on: August 13, 2019
[Hypertension and menopause]
1Szent Imre Kórház, V. Belgyógyászat-Kardiológia, Budapest. gmasszi@bni.hu
Insights
Cardiovascular disease risk increases in women after menopause due to estrogen deficiency, leading to higher rates of hypertension and cardiovascular disease compared to men. This review examines postmenopausal hypertension characteristics.
Area of Science:
- Cardiology
- Endocrinology
- Epidemiology
Context:
- Cardiovascular disease (CVD) is a leading cause of mortality globally.
- Hypertension is a major risk factor for atherosclerotic CVD.
- Women experience a surge in cardiovascular risk post-menopause, with hypertension prevalence exceeding men's after age 55.
Purpose:
- To review the clinical relevance and characteristics of postmenopausal hypertension.
- To explore the role of estrogen deficiency in the increased cardiovascular risk observed in postmenopausal women.
- To highlight the disparity in hypertension prevalence between genders across the lifespan.
Summary:
- Estrogen deficiency post-menopause is linked to accelerated cardiovascular risk in women.
- Estrogen's protective cardiovascular effects may involve direct vascular modulation and systemic influences.
- Loss of estrogen protection can unmask hypertension susceptibility in women, increasing CVD risk.
Impact:
- Informs clinical understanding of gender-specific cardiovascular risk factors.
- Highlights the need for tailored hypertension management strategies in postmenopausal women.
- Emphasizes the importance of considering hormonal changes in cardiovascular disease prevention and treatment.
Abstract:
Cardiovascular disease is the leading cause of death among men and women. The cardiovascular risk of the women reaches the men of same age after the menopause. Hypertension is one of the most powerful and prevalent contributor of ahterosclerotic cardiovascular disease. Hypertension affects more men than women until 55 years of age, but after 55 the percentage of women is higher. Estrogen deficiency has been linked to the rapid progression of cardiovascular risk of women after menopause. The biological background of protective effects of estrogen is not fully, but mainly understood yet. It may involve direct effects on blood vessels through modulation of endogen vasoconstrictors and vasodilators, accompanied by systematic effects of the hormone. The main effect of these influences protects the cardiovascular system. After menopause, loss of this protection may unmask a population of women prone to hypertension, who would be at higher risk for cardiovascular disease. The guidelines make no differences apart form gestational hypertension between men and women. This review would like to focus on the clinical relevance and characteristics of postmenopausal hypertension according to the literature.
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