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女性心血管疾病的一级预防。

Primary Prevention of Cardiovascular Disease in Women.

机构信息

Houston Methodist Academic Institute, Houston, Texas, US.

Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, US.

出版信息

Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):94-106. doi: 10.14797/mdcvj.1313. eCollection 2024.

Abstract

Cardiovascular disease (CVD) remains a leading cause of mortality in women, necessitating innovative primary prevention strategies. Contemporary guidelines on primary prevention of CVD highlight the increasing prevalence of CVD risk factors and emphasize the significance of female-specific risk enhancers that substantially augment the future risk of CVD. These risk factors occur throughout a woman's life cycle, such as hormonal contraception, hypertensive disorders of pregnancy, and menopause, all of which confer an added layer of risk in women beyond the conventional risk factors. Despite this, current methods may not fully capture the nuanced vulnerabilities in women that increase their risk of CVD. In this review, we highlight gender-specific risk enhancers and subsequent prevention as well as strategies to improve primary prevention of CVD in women.

摘要

心血管疾病(CVD)仍然是女性死亡的主要原因,需要创新的一级预防策略。CVD 一级预防的当代指南强调 CVD 风险因素的患病率不断增加,并强调女性特有的风险增强因素的重要性,这些因素大大增加了 CVD 的未来风险。这些风险因素存在于女性的整个生命周期中,例如激素避孕、妊娠高血压疾病和更年期,所有这些因素都给女性带来了超出传统风险因素的额外风险。尽管如此,目前的方法可能无法充分捕捉到增加女性 CVD 风险的细微脆弱性。在这篇综述中,我们强调了性别特异性的风险增强因素以及随后的预防措施,以及改善女性 CVD 一级预防的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbd2/10941704/05e848b20ae1/mdcvj-20-2-1313-g1.jpg

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