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Published on: August 13, 2019
Hypertension in postmenopausal women
Roberta Lima1, Marion Wofford, Jane F Reckelhoff
1Department of Physiology and Biophysics, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505, USA. beta.lima18@gmail.com
Insights
Postmenopausal women experience higher hypertension rates than men, with poorer blood pressure control despite better adherence. This review explores potential reasons for increased blood pressure in these women.
Area of Science:
- Cardiovascular Science
- Endocrinology
- Gerontology
Background:
- Blood pressure is generally lower in premenopausal women compared to men.
- Hypertension prevalence increases significantly in women after menopause, exceeding that in men.
- Cardiovascular disease, a leading cause of death in women, is strongly linked to hypertension.
Purpose of the Study:
- To review and describe potential physiological mechanisms contributing to elevated blood pressure in postmenopausal women.
- To address the observed disparity in hypertension prevalence and control between sexes post-menopause.
Main Methods:
- Literature review of existing studies on sex differences in blood pressure regulation.
- Analysis of hormonal changes associated with menopause and their impact on vascular function.
- Examination of factors influencing hypertension management and control in women.
Main Results:
- Postmenopausal women exhibit a higher prevalence of hypertension compared to men.
- Despite better medication adherence and more frequent monitoring, blood pressure control may be less effective in women.
- Specific mechanisms underlying increased blood pressure in postmenopausal women are explored.
Conclusions:
- Menopause is a critical transition associated with increased hypertension risk in women.
- Understanding the mechanisms behind postmenopausal hypertension is crucial for effective cardiovascular disease prevention in women.
- Further research is needed to optimize hypertension management strategies for postmenopausal women.
Abstract:
Blood pressure is typically lower in premenopausal women than in men. However, after menopause, the prevalence of hypertension in women is higher than it is in men. Hypertension is a major risk factor for cardiovascular disease in women and men, but cardiovascular disease is the leading cause of death in women. Furthermore, there is evidence that blood pressure may not be as well-controlled in women as in men, despite the fact that most women adhere better to their therapeutic regimens and medications than do men, and have their blood pressures measured more frequently than do men. This review describes possible mechanisms by which blood pressure may be increased in postmenopausal women.
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