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Gender Disparities in Cardiovascular Disease and Their Management: A Review
Dhruva Betai1, Aamina S Ahmed2, Prerna Saxena3
1General Practice, Pandit Deendayal Upadhyay Medical College, Rajkot, IND.
Insights
Cardiovascular diseases (CVDs) show significant gender disparities in presentation, risk, and treatment. Understanding these sex-based differences is crucial for developing personalized strategies to prevent and manage CVDs effectively.
Area of Science:
- Cardiology
- Gender Medicine
- Public Health
Background:
- Cardiovascular diseases (CVDs) remain a leading global cause of mortality.
- Notable differences exist between sexes regarding CVD symptoms, progression, and treatment.
- Existing research highlights gender disparities in CVD prevalence, clinical presentation, management, and outcomes.
Purpose of the Study:
- To provide a comprehensive overview of gender disparities in cardiovascular diseases.
- To explore the influence of hormonal, genetic, and physiological factors on sex-specific CVD outcomes.
- To examine how lifestyle, sociocultural factors, and traditional risk factors differ in relevance between genders.
Main Methods:
- This study is a narrative review.
- It synthesizes current knowledge on gender differences in CVD.
- It analyzes biological, behavioral, and sociocultural factors contributing to these disparities.
Main Results:
- Gender disparities are evident in CVD risk factors, with varying importance of diabetes mellitus, cholesterol, and smoking between men and women.
- Hormonal influences, genetic predispositions, and physiological differences impact CVD presentation and progression.
- Age and conventional risk variables also exhibit distinct effects across genders.
Conclusions:
- Tailored strategies are necessary due to gender-specific factors influencing treatment efficacy.
- Early identification and management of gender-specific factors can prevent or delay CVD development.
- Further research into the complex interactions of structural, biochemical, and hormonal aspects across genders is essential for optimizing treatment and reducing CVD burden.
Abstract:
Worldwide, cardiovascular diseases (CVDs) are still the primary cause of death, and there are notable differences between sexes when it comes to symptoms/course and treatment. Due to evolving healthcare technologies, significant progress has been made in understanding CVDs. Hence, it is evident that gender disparities exist in the clinical presentation, prevalence, management, outcomes, and risk factors, including biological, behavioral, and sociocultural factors. This narrative review is designed to provide a generalized idea of gender disparities in CVDs. It aims to provide insights to prove the role of hormonal influences, genetic predispositions, and the difference in physiological outcomes owing to different genders. This review explores subtle distinctions in CVD across genders, including changes in structure, biology, and hormones that affect how illness presents and progresses. Lifestyle variables also influence sociocultural factors and gender disparities in risk profiles. Traditional risk factors, diabetes mellitus (DM), cholesterol levels, and smoking may have different weights and relevance in men and women. Moreover, age and other conventional risk variables have distinct effects on gender. Treatment efficacy may be impacted by the expression of gender-specific factors, emphasizing the necessity for customized strategies. Development of CVDs can be delayed or prevented, and its consequences can be lessened with the early identification and effective management of gender-specific factors. More investigation is necessary to clarify complex interactions between structural, biochemical, and hormonal aspects across genders in order to maximize treatment results and reduce the burden of CVDs.
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