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Published on: May 17, 2024
Hypertension in women
Fadi G Hage1, Sulaf J Mansur2, Dongqi Xing3
1Division of Cardiovascular Diseases, University of Alabama at Birmingham , Birmingham, Alabama, USA ; Section of Cardiology, Birmingham Veteran Affairs Medical Center , Birmingham, Alabama, USA.
Hypertension is a major risk factor for cardiovascular disease, especially in older women. Antihypertensive therapy is effective in both genders, but women may need specific considerations during treatment.
Area of Science:
- Cardiology
- Women's Health
- Public Health
Background:
- Hypertension is the most common modifiable risk factor for cardiovascular disease.
- Its prevalence and severity increase with age, posing greater challenges in blood pressure control for older adults, particularly women.
- Unique forms of hypertension exist in women, including those linked to menopause, oral contraceptive use, and pregnancy (e.g., pre-eclampsia).
Purpose of the Study:
- To review the current landscape of hypertension in women.
- To discuss prevalence, awareness, treatment, and control strategies.
- To highlight recent guidelines for managing hypertension in this demographic.
Main Methods:
- Review of randomized controlled trials (RCTs) on antihypertensive therapy efficacy in men and women.
- Analysis of epidemiological data on hypertension prevalence, awareness, and control in women.
- Synthesis of current clinical guidelines for hypertension management.
Main Results:
- Antihypertensive therapy demonstrates similar reductions in major cardiovascular events for both men and women.
- Blood pressure control becomes more challenging with aging, especially in women.
- Gender-specific side effects and contraindications (e.g., pregnancy) are key considerations for treatment selection in women.
Conclusions:
- Gender should not dictate the choice of blood pressure-lowering therapies, barring specific female-related contraindications.
- Effective management of hypertension in women requires attention to age-related challenges and gender-specific factors.
- Adherence to updated guidelines is crucial for optimizing hypertension control in women and reducing cardiovascular disease risk.
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Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
