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Author Spotlight: A Pharmacodissection Approach to Uncover Mechanisms in Cardiovascular Disease Risk Populations
Published on: July 21, 2023
Vascular function and cardiovascular risk factors in women with severe flushing
Jenifer Sassarini1, Mary Ann Lumsden1
1Obstetrics and Gynaecology, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Level 2, New Lister Building, Glasgow Royal Infirmary, 10-16 Alexandra Parade, G31 2ER Glasgow, Scotland, United Kingdom.
Insights
Hot flushing during menopause may indicate underlying cardiovascular disease risk in women. This symptom, often dismissed, could signal a need for cardiovascular assessment post-menopause.
Area of Science:
- Cardiovascular health and menopausal transition.
Background:
- Cardiovascular disease (CVD) is the primary cause of death in postmenopausal women globally.
- CVD incidence rises sharply after menopause, coinciding with hot flushing, a common menopausal symptom.
- Historically, vasomotor symptoms like hot flushing were considered minor, with research focusing on hormone therapy's impact on CVD events.
Purpose of the Study:
- To explore the potential link between hot flushing and underlying cardiovascular disease in postmenopausal women.
- To re-evaluate the significance of vasomotor symptoms beyond their nuisance value.
Main Methods:
- Review of current research on menopausal transition and cardiovascular health.
- Analysis of the association between hot flushing and cardiovascular disease markers.
Main Results:
- Emerging evidence suggests that hot flushing may serve as a clinical marker for subclinical cardiovascular disease.
- The presence of flushing could indicate a higher predisposition to cardiovascular events.
Conclusions:
- Hot flushing in postmenopausal women warrants further investigation as a potential indicator of cardiovascular risk.
- Reconsidering vasomotor symptoms as potential cardiovascular disease markers is crucial for women's health post-menopause.
Abstract:
Cardiovascular disease is the leading cause of death in women of postmenopausal age worldwide. It is a relatively rare occurrence before the menopause and the increase in incidence coincides with the most common symptom associated with menopausal transition, hot flushing. Interest in cardiovascular disease post-menopause has largely focused on the effect of hormone therapy on risk of coronary events and stroke, with vasomotor symptoms considered merely a nuisance symptom, but recent work suggests that the presence of flushing may be a marker of underlying cardiovascular disease.
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