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Published on: August 13, 2019
Primary prevention of cardiovascular disease in women
M P Gray1,2,3, B Vogel4, R Mehran4
1Cardiothoracic and Vascular Health, Kolling Institute of Medical Research, Sydney, NSW, Australia.
Insights
Cardiovascular disease (CVD) remains a leading cause of death. Novel strategies focusing on female-specific risk factors and personalized medicine show promise for improving early detection and prevention in women.
Area of Science:
- Cardiology
- Preventative Medicine
- Biomarkers
Background:
- Ischemic heart disease is the leading cause of cardiovascular disease (CVD) mortality globally.
- Traditional modifiable risk factors (hypertension, smoking, dyslipidemia, diabetes) are crucial but face persistent challenges in equitable access and education, especially for women.
- Female-specific risk factors (e.g., premature menopause, gestational hypertension) offer unique avenues for targeted CVD prevention.
Purpose of the Study:
- To review established and emerging strategies for improving cardiovascular disease (CVD) risk assessment in women.
- To discuss novel approaches for early disease detection and personalized preventative therapies.
- To highlight the need for targeted interventions to reduce the burden of CVD in women.
Main Methods:
- Review of established risk factors and challenges in CVD prevention.
- Exploration of female-specific risk factors and their association with CVD.
- Discussion of emerging technologies including blood-based 'omics', advanced imaging biomarkers, and bioinformatics for personalized medicine.
Main Results:
- Traditional risk factor management is essential but insufficient, particularly for women.
- Female-specific risk factors present opportunities for tailored prevention, though more research is needed.
- Novel 'omics' and bioinformatic approaches offer potential for personalized early detection and treatment, especially where traditional factors are less predictive.
Conclusions:
- Improving CVD risk assessment, early detection, and prevention in women requires addressing both traditional and female-specific factors.
- Personalized medicine approaches leveraging advanced biomarkers and analytics are crucial for reducing CVD burden in women.
- Further research is urgently needed to develop and validate specific screening tools and interventions for women.
Abstract:
Ischemic heart disease is the primary cause of cardiovascular disease (CVD) mortality in both men and women. Strategies targeting traditional modifiable risk factors are essential - including hypertension, smoking, dyslipidemia and diabetes mellitus - particularly for atherosclerosis, but additionally for stroke, heart failure and some arrhythmias. However, challenges related to education, screening and equitable access to effective preventative therapies persist, and are particularly problematic for women around the globe and those from lower socioeconomic groups. The association of female-specific risk factors (e.g. premature menopause, gestational hypertension, small for gestational age births) with CVD provides a potential window for targeted prevention strategies. However, further evidence for specific effective screening and interventions is urgently required. In addition to population-level factors involved in increasing the risk of suffering a CVD event, efforts are leveraging the enormous potential of blood-based 'omics', improved imaging biomarkers and increasingly complex bioinformatic analytic approaches to strive toward more personalized early disease detection and personalized preventative therapies. These novel tactics may be particularly relevant for women in whom traditional risk factors perform poorly. Here we discuss established and emerging approaches for improving risk assessment, early disease detection and effective preventative strategies to reduce the mammoth burden of CVD in women.
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