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Women's Heart Health: Difference between revisions
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→Which patients can be managed for global cardiovascular risk by a menopause physician?
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===Depression & Acute stress=== | ===Depression & Acute stress=== | ||
[[File:takotsubo.svg|thumb|400px|Takotsubo cardiomyopathy]] | |||
Data from the INTERHEART study shows, that particular in women the combined exposure psychological risk factors such as depression, chronic emotional distress and acute stress such as major live events, are significantly associated with acute myocardial infarction (OR 2.6 in men and 3.5 in women). A stress-induced condition known as “Takotsubo cardiomyopathy” is almost exclusively seen among women. Due to severe emotional stress these women present with symptoms mimicking acute myocardial infarction. Also the ECG and echocardiogram show all the signs of infarction. However the CAG is often normal with no signs of coronary obstruction. The severe impaired left ventricular function usually normalizes completely after a couple of months. | Data from the INTERHEART study shows, that particular in women the combined exposure psychological risk factors such as depression, chronic emotional distress and acute stress such as major live events, are significantly associated with acute myocardial infarction (OR 2.6 in men and 3.5 in women). A stress-induced condition known as “Takotsubo cardiomyopathy” is almost exclusively seen among women. Due to severe emotional stress these women present with symptoms mimicking acute myocardial infarction. Also the ECG and echocardiogram show all the signs of infarction. However the CAG is often normal with no signs of coronary obstruction. The severe impaired left ventricular function usually normalizes completely after a couple of months. | ||
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===Which patients can be managed for global cardiovascular risk by a menopause physician?=== | ===Which patients can be managed for global cardiovascular risk by a menopause physician?=== | ||
*A | [[File:cardiologist_menopause_physician.svg|thumb|400px|right]] | ||
*A woman with a high-risk profile or overt cardiovascular disease requires intensive management including drug therapy | |||
*Collaboration with a cardiovascular specialist is essential if global cardiovascular risk is high, or if cardiovascular disease is present. | *Collaboration with a cardiovascular specialist is essential if global cardiovascular risk is high, or if cardiovascular disease is present. | ||
==Clinical Presentation== | ==Clinical Presentation== | ||