Under-recognized cardiovascular risk enhancers in women: A call to rethink clinical assessment on risk stratification.

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Tác giả: Guillermo A Berbotto, Leonel A Berbotto, Mildren A Del-Sueldo, Lautaro N Fierro, Jorge O Galindez, María-Rosa Galván, Albertina M Ghelfi, Laura Graziani, Boris Kisluk, Melisa N Lassus, Romina Maldonado, Rubén F Mamprin D Andrea, Gonzalo Miranda, Romina Nieto, Flavia A Passarino, Rosana M Quintana, Nicolás F Renna, Gustavo J Staffieri, Lautaro L Velez

Ngôn ngữ: eng

Ký hiệu phân loại: 368.14 *War risk insurance

Thông tin xuất bản: Netherlands : American journal of preventive cardiology , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 202975

 OBJECTIVES: Traditional cardiovascular risk (CVR) stratification does not consider CVR enhancers (CVRE). Women present under-recognized CVRE factors that may lead to arterial stiffness (AS). AS is associated with long-term cardiovascular disease. AS can be determined by carotid-femoral pulse wave velocity (cf-PWV). In women with low-CVR and a CVRE, our objective was to determine cf-PWV values and AS, and to compare with a control group. MATERIAL AND METHODS: Multicentric cross-sectional study, from 2022 to 2024 in Argentina. Included women between 18 and 59 years-old, without traditional CVR-factors, low (<
 5 %) 10-year CVR, and office blood-pressure (BP) <
 140/90 mmHg. Inclusion criteria: Group 1: presence of a CVRE (history of gestational hypertension, preeclampsia
  autoimmune rheumatic or hematological disease in clinical remission
  previous oncological treatment in current complete remission
  history of abortions
  early menopause or menarche
  anxiety or depression disorder
  human immunodeficiency virus infected virally suppressed). Group-2: women who attended routine control. Exclusion criteria: hypertension
  diabetes
  target organ damage
  chronic kidney disease
  current smoking
  history of CV-event
  statins, aspirin, or antihypertensive treatment. RESULTS: Included 280 women: Group-1 (N = 174)
  Group-2 (N = 106). Group-1 showed higher cf-PWV: 7.02±1.20 vs. 5.71±0.86 ( CONCLUSIONS: Women with CVRE showed greater cf-PWV and higher frequency of AS.
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