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Updated: Feb 7, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Gendered Innovations in the Study of Cardiovascular Diseases
1Russian Society of Cardiology, Saint-Petersburg, Russia. e.shlyakhto@almazovcentre.ru.
Insights
This chapter explores cardiovascular disease differences in males and females, covering hypertension, coronary artery disease, and sudden cardiac death, highlighting sex-based treatment and imaging insights.
Area of Science:
- Cardiology and Cardiovascular Research
- Reproductive Endocrinology
- Medical Imaging
Background:
- Cardiovascular diseases (CVDs) exhibit significant sex-based differences in prevalence, presentation, and outcomes.
- Understanding these gender aspects is crucial for effective prevention and treatment strategies.
- Existing research often overlooks or inadequately addresses sex-specific nuances in CVD.
Purpose of the Study:
- To consolidate current knowledge on gender-specific aspects of major cardiovascular diseases.
- To analyze sex differences in arterial hypertension, obesity, metabolic syndrome, and coronary artery disease.
- To examine gender-related factors in arrhythmias, sudden cardiac death, cardiomyopathies, and aortic diseases, including cardiac imaging.
Main Methods:
- Comprehensive review of existing literature on gender and cardiovascular diseases.
- Analysis of original data pertaining to obesity, metabolic syndrome, and related conditions.
- Inclusion of studies focusing on cardiac imaging and sex differences in diagnostic interpretation.
Main Results:
- Arterial hypertension and its treatment show distinct patterns in males and females.
- Menopausal replacement therapy and testosterone use influence cardiovascular risk and management.
- Sex differences are evident in coronary artery disease, arrhythmias, cardiomyopathies, and aortic valve diseases.
- Cardiac imaging reveals significant sex-based variations in cardiovascular structure and function.
Conclusions:
- Gender is a critical determinant in the pathophysiology and clinical manifestation of cardiovascular diseases.
- Tailoring therapeutic approaches based on sex is essential for optimizing patient outcomes.
- Further research into sex differences, particularly in cardiac imaging, is warranted to advance personalized cardiovascular medicine.
Abstract:
The chapter summarizes modern knowledge on gender aspects of major cardiovascular diseases starting from basic research. It covers arterial hypertension along with treatment aspects in males and females, as well as menopausal replacement therapy and testosterone use. Authors analyze both literature and original data on obesity and metabolic syndrome, coronary artery disease, arrhythmias including gender aspects of sudden cardiac death, cardiomyopathies, and diseases of aorta and aortic valve. A significant part deals with cardiac imaging and sex differences.
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