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[Hypertension in women]
Catalina Lomelí1, Martín Rosas, Celso Mendoza-González
1Departamento de Cardiología Adultos III, Instituto Nacional de Cardiología "Ignacio Chávez", INCICH Juan Badiano Núm. 1, Sección XVI, Tlalpan 14080, México, DF.
Insights
Cardiovascular disease risk increases for women post-menopause, differing from men. Lifestyle changes and nutrition are key to managing this risk, especially in Mexico.
Area of Science:
- Endocrinology
- Cardiology
- Public Health
Context:
- Cardiovascular disease (CVD) is a leading cause of death in women, particularly after menopause.
- Hormonal and pathophysiological differences exist between men and women regarding CVD.
- Risk factors like obesity, diabetes, and sedentary lifestyles are rising in women.
Purpose:
- To review new pathophysiological mechanisms of CVD in women.
- To analyze clinical-therapeutic approaches for female cardiovascular health.
- To emphasize lifestyle and nutritional interventions.
Summary:
- Estrogen's protective role in CVD is considered, but rising risk factors complicate this.
- Hypertension is prevalent in younger Mexican women (<54 years), posing an independent risk.
- Post-menopause, women experience higher cardiovascular mortality than men.
Impact:
- Highlights the need for tailored CVD prevention and management strategies for women.
- Underscores the importance of lifestyle modifications and nutritional guidance.
- Addresses the specific challenges of CVD in the Mexican female population.
Abstract:
The cardiovascular disease is a crucial cause of morbidity and mortality in the woman mainly when they arrive at menopause. The pathophysiology and neurohormonal mechanisms widely vary with respect to the man. This finding has given the support to think that the estrogens may be playing a protector role in cardiovascular disease. However, the associated risk factors like obesity, diabetes, dislipidemia, smoking and sedentary life are increasing in an exponential form. In Mexico the population age distribution establishes that 60% of the women with hypertension are aged < 54 years old. This is reason why as factor of independent cardiovascular risk is commonest. Nevertheless, after the menopause cardiovascular mortality is greater in the woman than in the man. In this review, the importance of the new pathophysiological mechanisms and the clinical-therapeutic approach are analyzed, making emphasis in the importance of the change in the life style and also in the nutritional aspects. In Mexico the woman still have a unique role in the nutritional culture.
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