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Understanding cardiovascular risk in hemophilia: A step towards prevention and management
Nikolaos Sousos1, Eleni Gavriilaki1, Sofia Vakalopoulou1
1Haematology Unit - Haemophilia Centre of Northern Greece, 2nd Propedeutic Department of Internal Medicine, Hippokration General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Insights
Aging individuals with hemophilia face significant cardiovascular risks. This review examines traditional, non-traditional, and treatment-related risk factors to improve cardiovascular care in this population.
Area of Science:
- Cardiovascular Medicine
- Hematology
Background:
- Hemophilia care advances increase life expectancy, creating an aging population with unique health challenges.
- Cardiovascular disease knowledge is extensive, but studies specific to hemophilia patients are limited and primarily descriptive.
- Traditional cardiovascular risk factors appear similar or increased in hemophilia patients compared to the general population.
Purpose of the Study:
- To review current knowledge on cardiovascular risk in hemophilia patients.
- To focus on cardiovascular risk factors, morbidity, mortality, and management strategies.
- To highlight the need for better understanding and prevention of cardiovascular disease in hemophilia.
Main Methods:
- Literature review of existing studies on cardiovascular risk in hemophilia.
- Synthesis of data on traditional, non-traditional, disease-related, and treatment-related risk factors.
- Analysis of cardiovascular morbidity, mortality, and current management approaches.
Main Results:
- Evidence suggests a similar or higher prevalence of traditional cardiovascular risk factors in hemophilia.
- Non-traditional, disease-related, and treatment-related cardiovascular risk factors require further investigation.
- Data on cardiovascular morbidity and mortality in hemophilia patients are scarce but growing.
Conclusions:
- Improved understanding of cardiovascular risk is crucial for effective prevention and management in hemophilia.
- Further research is needed to elucidate the specific cardiovascular risks associated with hemophilia.
- Tailored cardiovascular prevention and management strategies are essential for the aging hemophilia population.
Abstract:
Advances in hemophilia care have led to increased life expectancy and new challenges in the management of the aging hemophilia population, including cardiovascular risk. Despite the deep knowledge into cardiovascular disease in terms of pathophysiology, risk prediction, prevention, early detection and management gained over the last decades, studies in hemophiliacs are scarce and mainly descriptive. As a growing amount of evidence points towards a similar or increased prevalence of traditional cardiovascular risk factors in hemophilia compared to the general population, the role of non-traditional, disease-related and treatment-related cardiovascular risk factors remains under investigation. Better understanding of cardiovascular risk in hemophilia is mandatory for proper cardiovascular risk prevention and management. Therefore, this review aims to summarize current knowledge on cardiovascular risk in hemophilia patients focusing on a) cardiovascular risk factors (traditional, non-traditional, disease-related and treatment-related), b) cardiovascular morbidity and mortality and c) cardiovascular prevention and management.
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