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Published on: August 13, 2019
Cardiovascular disease after menopause: a growing epidemic
1University of North Texas, Health Science Center, Fort Worth, TX 76107, USA.
Insights
Coronary heart disease (CHD) is a leading cause of death in postmenopausal women due to changing risk factors. Further research is needed to address cardiovascular disease and metabolic syndrome in this population.
Area of Science:
- Cardiovascular Science
- Endocrinology
- Women's Health
Background:
- Coronary heart disease (CHD) is the primary cause of mortality in postmenopausal women.
- Menopause is associated with changes in risk factors that increase CHD risk.
- Hormone replacement therapy has not demonstrated overall cardiovascular benefit despite improving some risk factors.
Purpose of the Study:
- To explore the connection between cardiovascular disease and metabolic syndrome in postmenopausal women.
- To investigate the role of metabolic risk factors in CHD risk for women compared to men.
- To examine the influence of C-reactive protein on CHD risk within the context of metabolic syndrome.
Main Methods:
- Observational study analyzing risk factor changes post-menopause.
- Comparison of CHD risk associated with metabolic factors in women versus men.
- Assessment of C-reactive protein's impact on metabolic syndrome and CHD risk.
Main Results:
- Postmenopausal women face increased CHD risk due to altered metabolic profiles.
- Metabolic risk factors like high triglycerides, low HDL-cholesterol, and glucose abnormalities may pose a greater CHD risk in women.
- C-reactive protein appears to modify CHD risk across all levels of metabolic syndrome.
Conclusions:
- A strong link exists between cardiovascular disease and metabolic syndrome in postmenopausal women.
- Metabolic syndrome components and inflammation significantly influence CHD risk in this demographic.
- Further research is essential to develop effective strategies against cardiovascular morbidity and mortality in postmenopausal women.
Abstract:
Coronary heart disease (CHD) remains the major cause of mortality in women after menopause. At the time of menopause risk factors change to increase the risk of CHD. Although hormone replacement therapy improves some of these risk factors, no overall cardiovascular benefit has been noted with this therapy. There are parallel twin epidemics occurring in postmenopausal women, one being cardiovascular disease and the other metabolic syndrome, in which there appears to be a connection. Metabolic risk factors such as elevated triglyceride levels, decreased HDL-cholesterol levels and glucose abnormalities have been suggested to portend a greater CHD risk in women than men. Also the inflammatory marker, C reactive protein, appears to modify risk at all levels of the metabolic syndrome. Further studies are needed to determine the best strategy to confront the epidemic of cardiovascular morbidity and mortality in the postmenopausal population.
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