Thursday, 7 April 2016

Cardiologists and Gynecologists need to work together

Cardiologists and Gyanecologists need to work together

Look for underlying heart disease in endometriosis

Endometriosis raises the summary risk for any coronary heart disease by 62% overall and by a staggering 200% in women aged 40 or younger as per Nurses' Health Study 2 analysis.

The association between endometriosis and CHD was found to be consistent no matter how CHD was defined - MI, angina, or coronary bypass/angioplasty/stent.

Women with endometriosis are known to have systemic, chronic inflammation, an atherogenic lipid profile, heightened oxidative stress and several overlapping risk factors for cardiovascular disease. It affects about
10% of women of reproductive age.

Compared with women without endometriosis, women with endometriosis were 1.52 times more likely to have an MI, 1.91 times more likely to develop angiographically-confirmed angina and 1.35 times more likely to need CABG surgery, a coronary angioplasty procedure, or a stent.

The association was independent of several potential confounders, including use of oral contraceptives and hormone-replacement therapy.

The research is published online March 29, 2016 in Circulation: Cardiovascular Quality Outcomes.

The cardiologist does need to be aware of whether the woman has undergone surgical menopause, regardless of her age, and that surgical menopause may confer cardiovascular risk.

Prevention is the most critical piece of women in heart disease because once women get heart disease, their outcomes are significantly worse.

2 comments:

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