Cardiovascular Disease In Women

From Anvita Health Wiki

Contents 1 Etiology 2 Epidemiology 3 Laboratory 4 Complications 5 Management 6 More General Terms 7 References

Etiology

• see cardiovascular risk factors
• systemic lupus erythematosus [6]

Epidemiology

• more women than men die of cardiovascular disease each year
• the number of women dying of cardiovascular disease has not decreased over time

Laboratory

• serum apoliproteins & their ratios no better than standard lipid profile in predicting cadiovascular risk in women [4]
• serum C-reactive protein may be of use in assessing risk for women taking statins [4]

Complications

• women treated with fibrinolytic therapy, antiplatelet agents, or anticoagulation have a higher risk of bleeding complicaions than men [6]

Management

• prevention [5]

• aspirin 81 mg QD
• omega-3 fatty acids
• regular physical exercise
• no smoking
• control hypertension
• diet rich in fruits & vegetables

• screen for depression; may affect treatment compliance

• See selected reference & clinical guidelines.

More General Terms

• cardiovascular disease (CVD)
• women's health

References

1. Prescriber's Letter 11(3):16 2004 Detail-Document#: [1] (subscription needed) [2]
2. Women Are Not Reducing Their Risk Factors for Heart Disease after Bypass Surgery [3]
3. Mieres JH, Shaw LJ, Arai A, Budoff MJ, Flamm SD, Hundley WG, Marwick TH, Mosca L, Patel AR, Quinones MA, Redberg RF, Taubert KA, Taylor AJ, Thomas GS, Wenger NK; Cardiac Imaging Committee, Council on Clinical Cardiology, and the Cardiovascular Imaging and Intervention Committee, Council on Cardiovascular Radiology and Intervention, American Heart Association. Role of noninvasive testing in the clinical evaluation of women with suspected coronary artery disease: consensus statement from the Cardiac Imaging Committee, Council on Clinical Cardiology, and the Cardiovascular Imaging and Intervention Committee, Council on Cardiovascular Radiology and Intervention, American Heart Association. Circulation. 2005 Feb 8;111(5):682-96. Epub 2005 Feb 1. <PubMed> PMID: [4] <Internet> [5]
4. Journal Watch 25(17):136, 2005 Ridker PM, Rifai N, Cook NR, Bradwin G, Buring JE. Non-HDL cholesterol, apolipoproteins A-I and B100, standard lipid measures, lipid ratios, and CRP as risk factors for cardiovascular disease in women. JAMA. 2005 Jul 20;294(3):326-33. PMID: [6]
5. Prescriber's Letter 14(4): 2007 Summary of 2007 AHA Evidence-based guidelines for Cardiovascular Disease Prevention in women Detail-Document#: [7] (subscription needed) [8]
6. Mosca L et al Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women-2011 Update A Guideline From the American Heart Association Circulation Feb 16, 2011 <PubMed> PMID: [9] <Internet> [10]
7. Women's Heart Health Education Initiative [11]
8. National Guideline Clearinghouse
   - Effectiveness-based guidelines for the prevention of cardiovascular disease in women - 2011 update: a guideline from the American Heart Association. ngc-guideline: [12]
   - Society of Thoracic Surgeons Gender-specific practice guidelines for coronary artery bypass surgery. ngc-guideline: [13]
   - Role of noninvasive testing in the clinical evaluation of women with suspected coronary artery disease. American Heart Association ngc-guideline: [14]
   - Percutaneous coronary intervention and adjunctive pharmaco- therapy in women: a statement for healthcare professionals from the American Heart Association. ngc-guideline: [15]
   - Postnatal sexual and reproductive health. Faculty of Sexual and Reproductive Healthcare ngc-guideline: [16]
   - Intrapartum care. Care of healthy women and their babies during childbirth. National Collaborating Centre for Women's and Children's Health ngc-guideline: [17]

cardiovascular disease in women