Secondary Prevention of Cardiovascular Disease in Women: Closing the Gap

Cardiovascular disease (CVD) remains the leading cause of death in women globally. Younger women (<55 years of age) who experience MI are less likely to receive guideline-directed medical therapy (GDMT), have a greater likelihood of readmission and have higher rates of mortality than similarly ag...

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Autores principales: Aarti Thakkar, Anandita Agarwala, Erin D Michos
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Publicado: Radcliffe Medical Media 2021
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spelling oai:doaj.org-article:cf51f5baefdf4743a6c4acc3d74e99982021-12-04T16:05:17ZSecondary Prevention of Cardiovascular Disease in Women: Closing the Gap10.15420/ecr.2021.241758-37641758-3756https://doaj.org/article/cf51f5baefdf4743a6c4acc3d74e99982021-11-01T00:00:00Zhttps://www.ecrjournal.com/articleindex/ecr.2021.24https://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764Cardiovascular disease (CVD) remains the leading cause of death in women globally. Younger women (<55 years of age) who experience MI are less likely to receive guideline-directed medical therapy (GDMT), have a greater likelihood of readmission and have higher rates of mortality than similarly aged men. Women have been under-represented in CVD clinical trials, which limits the generalisability of results into practice. Available evidence indicates that women derive a similar benefit as men from secondary prevention pharmacological therapies, such as statins, ezetimibe, proprotein convertase subtilisin/kexin type 9 inhibitors, icosapent ethyl, antiplatelet therapy, sodium–glucose cotransporter 2 inhibitors and glucagon-like peptide-1 receptor agonists. Women are less likely to be enrolled in cardiac rehabilitation programs than men. Mitigating risk and improving outcomes is dependent on proper identification of CVD in women, using appropriate GDMT and continuing to promote lifestyle modifications. Future research directed at advancing our understanding of CVD in women will allow us to further develop and tailor CVD guidelines appropriate by sex and to close the gap between diagnoses, treatment and mortality.Aarti ThakkarAnandita AgarwalaErin D MichosRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 16, Iss , Pp - (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Aarti Thakkar
Anandita Agarwala
Erin D Michos
Secondary Prevention of Cardiovascular Disease in Women: Closing the Gap
description Cardiovascular disease (CVD) remains the leading cause of death in women globally. Younger women (<55 years of age) who experience MI are less likely to receive guideline-directed medical therapy (GDMT), have a greater likelihood of readmission and have higher rates of mortality than similarly aged men. Women have been under-represented in CVD clinical trials, which limits the generalisability of results into practice. Available evidence indicates that women derive a similar benefit as men from secondary prevention pharmacological therapies, such as statins, ezetimibe, proprotein convertase subtilisin/kexin type 9 inhibitors, icosapent ethyl, antiplatelet therapy, sodium–glucose cotransporter 2 inhibitors and glucagon-like peptide-1 receptor agonists. Women are less likely to be enrolled in cardiac rehabilitation programs than men. Mitigating risk and improving outcomes is dependent on proper identification of CVD in women, using appropriate GDMT and continuing to promote lifestyle modifications. Future research directed at advancing our understanding of CVD in women will allow us to further develop and tailor CVD guidelines appropriate by sex and to close the gap between diagnoses, treatment and mortality.
format article
author Aarti Thakkar
Anandita Agarwala
Erin D Michos
author_facet Aarti Thakkar
Anandita Agarwala
Erin D Michos
author_sort Aarti Thakkar
title Secondary Prevention of Cardiovascular Disease in Women: Closing the Gap
title_short Secondary Prevention of Cardiovascular Disease in Women: Closing the Gap
title_full Secondary Prevention of Cardiovascular Disease in Women: Closing the Gap
title_fullStr Secondary Prevention of Cardiovascular Disease in Women: Closing the Gap
title_full_unstemmed Secondary Prevention of Cardiovascular Disease in Women: Closing the Gap
title_sort secondary prevention of cardiovascular disease in women: closing the gap
publisher Radcliffe Medical Media
publishDate 2021
url https://doaj.org/article/cf51f5baefdf4743a6c4acc3d74e9998
work_keys_str_mv AT aartithakkar secondarypreventionofcardiovasculardiseaseinwomenclosingthegap
AT ananditaagarwala secondarypreventionofcardiovasculardiseaseinwomenclosingthegap
AT erindmichos secondarypreventionofcardiovasculardiseaseinwomenclosingthegap
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