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Traditional and Emerging Sex-Specific Risk Factors for Cardiovascular Disease in Women
Puja K Mehta1, Scott Gaignard2, Arielle Schwartz2
1Emory Women's Heart Center and Emory Clinical Cardiovascular Research Institute, Division of Cardiology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Insights
Cardiovascular disease (CVD) in women is a significant health issue. Addressing traditional and unique sex-specific risk factors through early recognition and multidisciplinary care is crucial for better outcomes.
Area of Science:
- Women's cardiovascular health
- Cardiology
- Public Health
Background:
- Cardiovascular disease (CVD) is a leading health concern for women globally.
- Traditional risk factors like hypertension, hyperlipidemia, diabetes, and smoking are challenging to manage optimally.
- Emerging evidence highlights unique sex-specific risks including adverse pregnancy outcomes, premature menopause, and autoimmune disorders.
Purpose of the Study:
- To emphasize the critical need for enhanced understanding of both traditional and sex-specific CVD risk factors in women.
- To underscore the importance of managing modifiable risk factors for preventing adverse cardiovascular events.
- To advocate for a comprehensive approach to CVD risk reduction in the female population.
Main Methods:
- Review and synthesis of current literature on CVD risk factors in women.
- Analysis of traditional, sex-specific, and psychological risk factors.
- Discussion of clinical management strategies and multidisciplinary care models.
Main Results:
- Optimal control of traditional CVD risk factors remains a significant clinical challenge.
- Sex-specific factors (e.g., pregnancy complications, low estrogen, autoimmune diseases) and psychological factors (stress, depression) disproportionately impact women's CVD risk.
- Early identification and intervention are key to altering the course of CVD events.
Conclusions:
- An improved understanding of all CVD risk factors in women is essential for effective clinical practice.
- A multi-disciplinary, team-based approach with targeted education is vital for reducing CVD risk and its consequences in women.
- Proactive management of modifiable risk factors can significantly improve cardiovascular health outcomes for women.
Abstract:
Cardiovascular disease (CVD) remains a major health threat in women. While traditional CVD risk factors such as hypertension, hyperlipidemia, diabetes, and smoking have been recognized for over 50 years, optimal control of these risk factors remains a major challenge. Unique sex-specific risk factors such as adverse pregnancy outcomes, premature menopause and low estrogen states, and chronic autoimmune inflammatory disorders also contribute to increased CVD risk in women. In addition, psychological risk factors such as stress, depression, and social determinants of health may have a disproportionately adverse impact in women. An improved understanding of traditional and emerging sex-specific CVD risk factors and management of modifiable factors is critical for clinicians who provide care for women. Early recognition and treatment of risk factors may alter the trajectory of adverse CVD events. A multi-disciplinary approach with team-based care involving multiple specialists and improved, targeted educational efforts are needed to reduce CVD risk factors and its adverse consequences in women.
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