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Sex Differences in Epidemiology of Cardiac and Vascular Disease
1Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium. tatiana.kouznetsova@med.kuleuven.be.
Insights
Cardiovascular disease (CVD) remains a leading cause of death globally, with higher mortality rates in men. However, women face significant risks, and sex differences impact CVD presentation and prevalence.
Area of Science:
- Cardiology
- Epidemiology
- Sex and Gender in Medicine
Background:
- Cardiovascular disease (CVD) is the primary cause of mortality worldwide.
- Despite declining rates, CVD significantly impacts both men and women.
- Age-adjusted CVD mortality and morbidity are higher in men, but women's risk is substantial.
Purpose of the Study:
- To review recent epidemiological data on sex discrepancies in CVD.
- To highlight differences in CVD prevalence and burden between sexes.
- To underscore the importance of understanding sex-specific CVD manifestations.
Main Methods:
- Analysis of epidemiological data on cardiovascular disease.
- Examination of sex-based differences in CVD prevalence and burden.
- Review of clinical presentation and manifestation variations.
Main Results:
- Cardiovascular disease (CVD) mortality and morbidity rates are generally higher in men.
- Women face significant, often underestimated, risks of preventable heart disease and stroke.
- Substantial sex differences exist in the initial symptoms and clinical presentation of CVD.
Conclusions:
- While men exhibit higher overall CVD rates, women's risk is considerable and requires attention.
- Understanding sex-specific differences in CVD is crucial for effective prevention and treatment.
- Further research into epidemiological data can elucidate sex-based disparities in cardiovascular health.
Abstract:
In spite of a remarkable decline in death rates from cardiovascular disease (CVD) observed over the last decades, CVD still remains the leading cause of mortality in both men and women worldwide. Overall the age-adjusted CVD mortality and morbidity rates are highest in men than in women. However, the risk of CVD in women should not be underestimated given that approximately one of two women in developed countries will die of mostly preventable heart diseases or stroke. Although men and women share the same cardiovascular risk factors, there are substantial sex differences in the first manifestation and clinical presentation of CVD. In this part of the chapter, we will discuss the recent epidemiological data on sex discrepancies in the prevalence and burden of different CVDs.
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