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[Post-menopausal hypertension: Detecting, treating, accompany, prevent]
Claire Mounier-Vehier1, Anne-Laure Madika1
1CHU Lille, institut cœur poumon, médecine vasculaire et HTA, 59000 Lille, France; Université Lille, EA 2694 - santé publique : épidémiologie et qualité des soins, 59000 Lille, France.
Presse Medicale (Paris, France : 1983)
|November 16, 2019
Summary
Menopause increases arterial and metabolic risks, making regular blood pressure monitoring crucial. Early detection and management of hypertension, including lifestyle changes and medication, are key for cardiovascular health in post-menopausal women.
Area of Science:
- Cardiology
- Endocrinology
- Women's Health
Background:
- Menopause is linked to increased arterial and metabolic risks.
- Systolic hypertension is prevalent in post-menopausal women.
- Cardiovascular risk assessment is vital during menopause.
Purpose of the Study:
- To highlight the importance of systematic blood pressure monitoring in post-menopausal women.
- To emphasize early detection and management of hypertension.
- To discuss therapeutic strategies, including hormone therapy, for cardiovascular risk reduction.
Main Methods:
- Systematic blood pressure measurement at each visit.
- Encouraging ambulatory blood pressure monitoring (ABPM) and home blood pressure monitoring (HBPM).
- Considering global cardiovascular risk before initiating antihypertensive treatment.
Main Results:
- ABPM is valuable for detecting nocturnal hypertension.
- Antihypertensive treatment should combine ABPM with lifestyle reinforcement.
- Thiazide diuretics are preferred for osteoporotic women; hormone therapy may be considered for specific cases.
Conclusions:
- Proactive hypertension management is essential for post-menopausal women.
- Multidisciplinary collaboration (gynecologist, cardiologist, GP) is crucial for optimal care.
- Informed decision-making regarding hormone therapy is necessary, balancing benefits and risks.
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