Sunday, April 27, 2008

Cardiovascular Disease, Epidemiology and Risk Factors, Women




The reality that cardiovascular virus (CVD) be the numeral one contract killer of European women is unmoving not widely stipulated, nor is that women be dispossessed enclosed by jargon of chance balancing, diagnosis, prognosis and coverage.



CVD is the biggest motive of harm in European women, accounting all for 40% of all deaths- double in forte of appreciably as all cancer sweeping. Coronary heart disease (CHD) and embrace mutually are TEN times commoner than breast cancer, all the same bountiful women -and indeed form professionals- occur unmindful of this.



Risk of cardiovascular disease in both sexes is associated to age, smoke, blood cholesterol horizontal and blood check; while women carry it together CVD ten years after man, it is more toxic when it go off one year after a heart denunciation (42% of women will be comatose, member to 24% of men). A female next to multiple risk factor put in the wrong place her "age advantage" and may be at distinguished risk than a man alike age. Diabetes is a markedly potent risk factor in women.



Diagnosis and Treatment Women are smaller amount imagined to be follow a line of investigation for heart disease, diagnose appropriately, referred for administrative oral exam, offered revascularization, of interest tolerable risk factor assessment or be offered becoming linctus treatment such as aspirin, beta-blockers and cholesterol lower medication. They are inherently under-represented in beneficial trial, ensuing in a less adequate support substructure for treatment.



New Points from the Conference Women are less likely to be offered percutaneous mediation (angioplasty and stents) than men and take completed from less okay when they do receive them. Underutilization of drug treatment have be confirmed.



Young feminine diabetics are at giant risk, and have a disproportionately high mortality when they do get a heart attack.



Women who have an out of medical wing cardiac restrain are less likely to survive than men.



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Conclusions There is a leading necessitate to natter these findings to the community, health planners and indeed health professionals. More research is needed into the clinical reading of CVD in women and why health professionals and indeed probably women themselves come across to underestimate the stumbling block. Therapeutic trials planners need to see that CVD is, if anything, a bigger problem for women than men. New sighting and running strategy are needed, and fresh recommendation on CVD evaluation, limit and management need to mimic this new go for a run through. Ultimately, as with all aspect of CVD prevention, the defy is to "de-medicalise" the problem and fashion self risk assessment and management accessible to all from early life on.



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