Cardiovascular health after menopause transition, pregnancy disorders, and other gynaecologic conditions: a consensus document from European cardiologists, gynaecologists, and endocrinologists

Angela H.E.M. Maas, Giuseppe Rosano, Renata Cifkova, Alaide Chieffo, Dorenda van Dijken, Haitham Hamoda, Vijay Kunadian, Ellen Laan, Irene Lambrinoudaki, Kate Maclaran, Nick Panay, John C. Stevenson, Mick van Trotsenburg, Peter Collins

Research output: Contribution to journalArticlepeer-review

Abstract

Women undergo important changes in sex hormones throughout their lifetime that can impact cardiovascular disease risk. Whereas the traditional cardiovascular risk factors dominate in older age, there are several female-specific risk factors and inflammatory risk variables that influence a woman's risk at younger and middle age. Hypertensive pregnancy disorders and gestational diabetes are associated with a higher risk in younger women. Menopause transition has an additional adverse effect to ageing that may demand specific attention to ensure optimal cardiovascular risk profile and quality of life. In this position paper, we provide an update of gynaecological and obstetric conditions that interact with cardiovascular risk in women. Practice points for clinical use are given according to the latest standards from various related disciplines (Figure 1).

Original languageEnglish
Pages (from-to)967-984
Number of pages18
JournalEuropean Heart Journal
Volume42
Issue number10
DOIs
Publication statusPublished - Mar 7 2021

Keywords

  • Coronary artery disease
  • Female-specific risk factors
  • Hypertensive pregnancy disorders
  • Ischaemic heart disease
  • Menopausal hormone therapy
  • Menopause
  • Sexual health women
  • Transgender

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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