HEART DISEASE IN WOMEN -GETWELL MEDICAL CENTER

HEART DISEASES IN WOMEN

Cardiovascular Disease Prevention
in Women: Current Guidelines

• A five-step approach
  •                 Assess and stratify women into high risk, at risk,
    and optimal risk categories
  •                 Lifestyle approaches recommended for all women
  •                 Other cardiovascular disease interventions:
    treatment of HTN, DM, lipid abnormalities
  •                 Highest priority is for interventions in high risk patients
  •                 Avoid initiating therapies that have been shown
    to lack benefit, or where risks outweigh benefits
  • High Risk
  • Diabetes mellitus
  • Documented atherosclerotic disease
  • Established coronary heart disease
  • Peripheral arterial disease
  • Cerebrovascular disease
  • Abdominal aortic aneurysm
  • Includes many patients with chronic kidney disease, especially
    ESRD 10-year Framingham global risk > 20%, or high risk based
    on another population-adapted global risk assessment tool
  • At Risk:
  • > 1 major risk factors for CVD, including:
  • Cigarette smoking
  • Hypertension
  • Dyslipidemia
  • Family history of premature CVD (CVD at < 55 years
    in a male relative, or < 65 years in a female relative)
  • Obesity, especially central obesity
  • Physical inactivity
  • Poor diet
  • Metabolic syndrome
  • Evidence of subclinical coronary artery disease (eg coronary calcification), or poor exercise capacity on treadmill test
    or abnormal heart rate recovery after stopping exercise
  • Conclusions
  • Gender differences exist in diagnosis, treatment, and prognosis of CHD
  • Knowledge of gender differences is essential
    for appropriate therapy
  • Evidence-based guidelines provide a framework for prevention and treatment
    of cardiovascular disease in women
  •