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Heart Disease in Women

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1. Primary prevention of coronary heart disease in women

Primary prevention of coronary heart disease in women Primary prevention of coronary heart disease in women | British Menopause Society Search for: Summary consensus statement Primary prevention of coronary heart disease in women Primary prevention of coronary heart disease in women 2019-05-14T15:17:51+01:00 Summary Coronary heart disease (CHD) is a leading cause of death in women. Observational studies have consistently shown oestrogen to help prevent CHD in postmenopausal women. The large (...) randomized controlled Women’s Health Initiative (WHI) trial initially did not confirm these observational findings. However, further analyses of the WHI study as well as meta-analyses of randomised clinical trials of hormone replacement therapy (HRT) and of the observational Nurses’ Health Study have now found that the timing of onset of HRT use is important and that oestrogen may have an important protective role in CHD, particularly in women initiating treatment below age 60 years. This consensus

2019 British Menopause Society

2. Adult nursing: Higher rates of depression among women living with Coronary Heart Disease are associated with poorer treatment outcomes and prognosis

Adult nursing: Higher rates of depression among women living with Coronary Heart Disease are associated with poorer treatment outcomes and prognosis Higher rates of depression among women living with Coronary Heart Disease are associated with poorer treatment outcomes and prognosis | Evidence-Based Nursing Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search (...) for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Higher rates of depression among women living with Coronary Heart Disease are associated with poorer treatment outcomes and prognosis Article Text Commentary Adult nursing Higher rates of depression among women living with Coronary Heart Disease are associated with poorer treatment outcomes and prognosis Karen McGuigan

2019 Evidence-Based Nursing

3. CADScor system for ruling out coronary artery disease in people with symptoms of stable coronary artery disease

be resource releasing in the long term if it reduces the number of people being referred for CTCA or other alternative diagnostic investigations. The technology The technology The CADScor system (Acarix A/S) is a medical device for acoustic detection of coronary artery disease (CAD). It is intended to be used before CT coronary angiography (CTCA) to rule out stable CAD in people aged 40 years and above who have symptoms suggestive of this condition. Heart sounds, murmurs and vibrations are recorded using (...) CADScor system for ruling out coronary artery disease in people with symptoms of stable coronary artery disease (MIB174) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 10states this should include a detailed clinical history and physical examination. The following factors should be taken into account: age, whether the person is male, cardiovascular risk (history of smoking, diabetes, hypertension, dyslipidaemia

2019 National Institute for Health and Clinical Excellence - Advice

4. Resting coronary velocity and myocardial performance in women with impaired coronary flow reserve: Results from the Women's Ischemia Syndrome Evaluation-Coronary Vascular Dysfunction (WISE-CVD) study. Full Text available with Trip Pro

Resting coronary velocity and myocardial performance in women with impaired coronary flow reserve: Results from the Women's Ischemia Syndrome Evaluation-Coronary Vascular Dysfunction (WISE-CVD) study. Women with evidence of ischemia and no obstructive coronary arteries (INOCA) often have coronary microvascular dysfunction (CMD) indicated by impaired coronary flow reserve (CFR) to adenosine. Low CFR is associated with an adverse prognosis, including incident heart failure. Because the CFR (...) calculation relies on the baseline intrinsic coronary vasomotor flow velocity, a major determinate of CFR and the degree of variation in baseline flow alone may be an important contributor to risk of adverse outcomes in women with CMD. A better understanding of baseline blood flow in the setting of low CFR and its association with myocardial performance would be helpful.We evaluated 74 women who underwent invasive coronary reactivity testing in the Women's Ischemia Syndrome Evaluation-Coronary Vascular

2020 International journal of cardiology

5. Promoting Risk Identification and Reduction of Cardiovascular Disease in Women Through Collaboration With Obstetricians and Gynecologists: A Presidential Advisory From the American Heart Association and the American College of Obstetricians and Gynecologi Full Text available with Trip Pro

. Nontraditional Risk Factors Unique to or Predominant in Women There are also certain ASCVD risk factors and conditions that are not necessarily sex specific but rather are female predominant. These include certain autoimmune disorders, including, but not limited to, rheumatoid arthritis, systemic lupus erythematosus, and scleroderma. These disorders are highly prevalent among women who have an increased risk of coronary artery disease and other cardiovascular disease. Breast cancer predominantly affects (...) and gestational hypertension impart a 3- to 6-fold increased risk of subsequent hypertension and a 2-fold risk for ischemic heart disease and stroke. Furthermore, these risk factors often do not translate to women as a predictor of future risk for ASCVD and are often not assessed when standard ASCVD risk assessment tools are used. Unfortunately, these adverse pregnancy outcomes also may never be part of a patient’s electronic health record, even if the delivery occurred in the same institution where the woman

2018 American Heart Association

6. Psychological traits, heart rate variability, and risk of coronary heart disease in healthy aging women - the Women's Health Initiative. (Abstract)

Psychological traits, heart rate variability, and risk of coronary heart disease in healthy aging women - the Women's Health Initiative. Psychological traits such as optimism and hostility affect coronary heart disease (CHD) risk, but mechanisms for this association are unclear. We hypothesized that optimism and hostility may affect CHD risk via changes in heart rate variability (HRV).We conducted a longitudinal analysis using data from the Women's Health Initiative Myocardial Ischemia (...) and Migraine Study. Participants underwent 24-hour ambulatory ECG monitoring 3 years after enrollment. Optimism (Life Orientation Test-Revised), cynical hostility (Cook-Medley), demographics, and coronary risk factors were assessed at baseline. HRV measures included standard deviation of average N-N intervals (SDNN); standard deviation of average N-N intervals over 5 min (SDANN); and average heart rate (HR). CHD - was defined as the first occurrence of myocardial infarction, angina, coronary angioplasty

2019 Psychosomatic Medicine

7. Prediction of Subclinical Coronary Artery Disease With Breast Arterial Calcification and Low Bone Mass in Asymptomatic Women: Registry for the Women Health Cohort for Breast, Bone, and Coronary Artery Disease Study. (Abstract)

Prediction of Subclinical Coronary Artery Disease With Breast Arterial Calcification and Low Bone Mass in Asymptomatic Women: Registry for the Women Health Cohort for Breast, Bone, and Coronary Artery Disease Study. This study sought to determine whether evaluations of breast arterial calcification (BAC) and low bone mass (LBM) could improve the ability to predict subclinical coronary artery disease (CAD) in asymptomatic women.An improved risk stratification strategy beyond the measurement (...) of conventional risk factors is needed to identify women at high risk of CAD.The BBC (Women Health Registry Study for Bone, Breast, and Coronary Artery Disease) enrolled 2,100 asymptomatic women who underwent dual-energy X-ray absorptiometry, digital mammography, and coronary computed tomography angiography. We assessed the predicted 10-year atherosclerotic cardiovascular disease (ASCVD) risk and evaluated the presence and severity of BAC, LBM, coronary artery calcification (CAC), and coronary atherosclerotic

2018 JACC. Cardiovascular imaging

8. Inflammatory biomarkers as predictors of heart failure in women without obstructive coronary artery disease: A report from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE). Full Text available with Trip Pro

Inflammatory biomarkers as predictors of heart failure in women without obstructive coronary artery disease: A report from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE). Women with signs and symptoms of ischemia, no obstructive coronary artery disease (CAD) and preserved left ventricular ejection fraction (EF) often have diastolic dysfunction and experience elevated rates of major adverse cardiac events (MACE), including heart failure (HF) hospitalization with preserved (...) ejection fraction (HFpEF). We evaluated the predictive value of inflammatory biomarkers for long-term HF hospitalization and all-cause mortality in these women.We performed a cross-sectional analysis to investigate the relationships between inflammatory biomarkers [serum interleukin-6 (IL-6), C-reactive protein (hs-CRP) and serum amyloid A (SAA)] and median of 6 years follow-up for all-cause mortality and HF hospitalization among women with signs and symptoms of ischemia, non-obstructive CAD

2017 PLoS ONE

9. Personality traits and the risk of coronary heart disease or stroke in women with diabetes - an epidemiological study based on the Women's Health Initiative. (Abstract)

Personality traits and the risk of coronary heart disease or stroke in women with diabetes - an epidemiological study based on the Women's Health Initiative. We studied the associations between personality traits and the risk of coronary heart disease (CHD) or stroke in women with diabetes.From the Women's Health Initiative, 15,029 women aged 50 to 79 years at enrollment and with self-reported treated diabetes at baseline or follow-up, were followed for a mean of 10 years. Personality traits (...) , and lifestyle factors.A total of 1,118 incident CHD and 710 incident stroke cases were observed. Women in the highest quartile of hostility had 22% (hazard ratio [HR] 1.22, 95% confidence interval [CI] 1.01-1.48) increased risk for CHD compared with women in the lowest quartile of hostility. P values for trend were greater than 0.05. Stratified analysis by prevalent or incident diabetes showed that the highest quartile of hostility had 34% increased risk for CHD (HR 1.34, 95% CI 1.03-1.74) among women

2019 Menopause

10. Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association

Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association | Circulation Search Search Hello Guest! Login to your account Email Password Keep me logged in Search Search June 2020 May 2020 April 2020 March 2020 February 2020 January 2020 This site (...) uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association , MD, MHA, Chair , MD, MPH, FAHA, Vice Chair , MD, FAHA , MD , MD , MD , MD, FAHA , MD, FAHA , MD, MHS , MD, MPH, FAHA , MD, FAHA Suzanne V. Arnold , Deepak L. Bhatt , Gregory W. Barsness , Alexis L

2020 American Heart Association

11. Sudden Cardiac Death in Women With Suspected Ischemic Heart Disease, Preserved Ejection Fraction, and No Obstructive Coronary Artery Disease: A Report From the Women's Ischemia Syndrome Evaluation Study Full Text available with Trip Pro

Sudden Cardiac Death in Women With Suspected Ischemic Heart Disease, Preserved Ejection Fraction, and No Obstructive Coronary Artery Disease: A Report From the Women's Ischemia Syndrome Evaluation Study Sudden cardiac death (SCD) is often the first presentation of ischemic heart disease; however, there is limited information on SCD among women with and without obstructive coronary artery disease (CAD). We evaluated SCD incidence in the WISE (Women's Ischemia Syndrome Evaluation) study.Overall (...) , 904 women with suspected ischemic heart disease with preserved ejection fraction and core laboratory coronary angiography were followed for outcomes. In case of death, a death certificate and/or a physician or family narrative of the circumstances of death was obtained. A clinical events committee rated all deaths as cardiovascular or noncardiovascular and as SCD or non-SCD. In total, 96 women (11%) died over a median of 6 years (maximum: 8 years). Among 65 cardiovascular deaths, 42% were SCD

2017 Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

12. Comparison of the Effects of Hand Reflexology versus Acupressure on Anxiety and Vital Signs in Female Patients with Coronary Artery Diseases. Full Text available with Trip Pro

Comparison of the Effects of Hand Reflexology versus Acupressure on Anxiety and Vital Signs in Female Patients with Coronary Artery Diseases. Hospitalization in the cardiac care unit can increase anxiety in patients. This study aimed to compare hand reflexology versus acupressure on anxiety and vital signs in female patients with coronary artery diseases. This double-blinded randomized placebo-controlled trial with a pre- and post-intervention design was conducted on 135 female patients (...) with coronary artery diseases. Female patients hospitalized in a cardiac care unit were randomly divided into three groups of hand reflexology, acupressure and placebo (n = 45 patients in each group) using blocking and a table of random numbers. Data was collected using the Spielberger anxiety inventory. Also, their vital signs were measured before, immediately after and half an hour after the intervention. Data analysis was performed using descriptive and analytical statistics. Before the intervention

2019 Healthcare (Basel, Switzerland) Controlled trial quality: uncertain

13. Cohort study: Late-life increases in alcohol consumption among postmenopausal women appear associated with greater breast cancer risk and less coronary heart disease risk

Cohort study: Late-life increases in alcohol consumption among postmenopausal women appear associated with greater breast cancer risk and less coronary heart disease risk Late-life increases in alcohol consumption among postmenopausal women appear associated with greater breast cancer risk and less coronary heart disease risk | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser (...) women appear associated with greater breast cancer risk and less coronary heart disease risk Article Text Aetiology/harm Cohort study Late-life increases in alcohol consumption among postmenopausal women appear associated with greater breast cancer risk and less coronary heart disease risk Tim R Stockwell 1 , Tanya N Chikritzhs 2 Statistics from Altmetric.com Commentary on: Dam M , Hvidtfeldt U , Tjønneland A , et al . Five year change in alcohol intake and risk of breast cancer and coronary heart

2016 Evidence-Based Medicine

14. Menopausal symptoms and risk of coronary heart disease in middle-aged women: A nationwide population-based cohort study. Full Text available with Trip Pro

Menopausal symptoms and risk of coronary heart disease in middle-aged women: A nationwide population-based cohort study. To assess the relationship between coronary heart disease (CHD) and menopausal symptoms in middle-aged women in Taiwan.The present study identified 14,340 symptomatic menopausal women without a history of CHD from the Taiwan National Health Insurance Research Database from January 1, 2000, to December 31, 2013. A total of 14,340 age- and Charlson-comorbidity-index-score (...) -matched asymptomatic women were used as controls. Possible comorbidity-attributable risks of CHD were surveyed to assess whether the symptomatic menopausal cohort had a higher incidence of CHD.The incidence of CHD was higher in the symptomatic menopausal cohort than in the control cohort (17.18 vs. 12.05 per 1000 person-years). After adjustment in multivariate Cox analysis, the risk of CHD was significantly higher in the symptomatic menopausal cohort (adjusted hazard ratio = 1.344, 95% confidence

2018 PLoS ONE

15. Triage Considerations for Patients Referred for Structural Heart Disease Intervention During the Coronavirus Disease 2019 (COVID?19) Pandemic: An ACC /SCAI Consensus Statement Full Text available with Trip Pro

Triage Considerations for Patients Referred for Structural Heart Disease Intervention During the Coronavirus Disease 2019 (COVID?19) Pandemic: An ACC /SCAI Consensus Statement Triage Considerations for Patients Referred for Structural Heart Disease Intervention During the Coronavirus Disease 2019 (COVID‐19) Pandemic: An ACC /SCAI Consensus Statement - Shah - - Catheterization and Cardiovascular Interventions - Wiley Online Library COVID-19 campus closures: see options for to subscribed content (...) . By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term Original Studies Free Access Triage Considerations for Patients Referred for Structural Heart Disease Intervention During the Coronavirus Disease 2019 (COVID‐19) Pandemic: An ACC /SCAI Consensus Statement Corresponding Author E-mail address: American College of Cardiology Interventional Cardiology Section Leadership Council, Washington, DC Division of Cardiovascular Medicine

2020 Society for Cardiovascular Angiography and Interventions

16. History of vasomotor symptoms, extent of coronary artery disease, and clinical outcomes after acute coronary syndrome in postmenopausal women. (Abstract)

History of vasomotor symptoms, extent of coronary artery disease, and clinical outcomes after acute coronary syndrome in postmenopausal women. Vasomotor symptoms (VMS) during menopausal transition have been linked to a higher burden of cardiovascular risk factors, subclinical vascular disease, and subsequent vascular events. We aim to investigate the association of VMS with the extent of coronary disease and their prognostic role after an acute coronary syndrome.The Ladies Acute Coronary (...) groups (mean Gensini score 49 vs 51; P = 0.6; mean SYNTAX score 14 vs 16; P = 0.3). Overall cardiovascular events at 1 year did not differ between groups (19% vs 22%; P = 0.5).In postmenopausal women with an acute coronary syndrome, a history of VMS was associated with younger age at presentation, despite a lower vascular disease burden and similar angiographically defined coronary disease as compared with women without VMS. No difference could be found in terms of overall clinical outcomes

2018 Menopause

17. Age at menopause, extent of coronary artery disease and outcome among postmenopausal women with acute coronary syndromes. Full Text available with Trip Pro

Age at menopause, extent of coronary artery disease and outcome among postmenopausal women with acute coronary syndromes. Early menopause has been associated with increased cardiovascular mortality, but prospective studies investigating outcomes of postmenopausal women with acute coronary syndromes (ACS) in relation to menopausal age are lacking.We analyzed the 1-year outcome of 373 women with acute myocardial infarction enrolled in the Ladies ACS study. All patients underwent coronary (...) % vs 5.9%, p = 0.03), whereas there were no differences in all other clinical characteristics, extent of coronary disease at angiography (as assessed by Gensini and SYNTAX scores), as well as interventional treatments. Within 1 year, women with late menopause had significantly better outcome as compared with those with early menopause (6.5% vs 15.3%, p = 0.007). At logistic regression analysis, late menopause was independently associated with better outcome (OR 0.28; 95% CI 0.12-0.67; p = 0.004

2018 International journal of cardiology

18. Long-term mortality and estimated functional capacity among women with symptoms of ischemic heart disease: From the NHLBI-sponsored Women's Ischemia Syndrome Evaluation. (Abstract)

Long-term mortality and estimated functional capacity among women with symptoms of ischemic heart disease: From the NHLBI-sponsored Women's Ischemia Syndrome Evaluation. The aim of this study was to determine the long-term prognostic value of the Duke Activity Status Index-estimated metabolic equivalents (METs) values among women with suspected ischemic heart disease. At a median of 9.6 years, the incidence of death was 23.4% in those with METs <4.8 versus 8.2% in METs >9.9, P < .01 (...) . In conclusion, use of the simple, patient-reported Duke Activity Status Index could help identify higher-risk women with suspected ischemic heart disease for targeted risk management.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 American Heart Journal

19. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

interventions are now available as less-invasive therapeutic options. For the purpose of this document, structural disease is used more broadly and includes heart failure and diseases of the aorta and pericardium, in essence, any disorder in which there is an abnormality of cardiac structure or function, excluding valvular diseases. Usingstandardized methodology,theclinical scenarios (indications) in this document were developed by a diverse writing group to represent patient presentations (...) or conduction disorders; palpitations/presyncope/ syncope (16,23–26); hypotension or hemodynamic insta- bility; hypertensive heart disease; acute coronary syn- dromes; respiratory failure; heart failure; pulmonary hypertension (27–29);devicetherapy (30,31);andcardiac transplantation, including monitoring for rejection in a recipient and evaluation of structure and function in a potential heart donor (22,32). In addition, evaluation for suspected pericardial disease or suspected acute aortic pathology

2019 Heart Rhythm Society

20. Predictive value of low testosterone concentrations regarding coronary heart disease and mortality in men and women - evidence from the FINRISK97 study. Full Text available with Trip Pro

Predictive value of low testosterone concentrations regarding coronary heart disease and mortality in men and women - evidence from the FINRISK97 study. The relevance of low testosterone concentrations for incident coronary heart disease (CHD) and mortality has been discussed in various studies. Here, we evaluate the predictive value of low baseline testosterone levels in a large population-based cohort.We measured the serum levels of testosterone in 7671 subjects (3710 male, 3961 female (...) ) of the population-based FINRISK97 study.The median follow-up (FU) was 13.8 years. During the FU, a total of 779 deaths from any cause, and 395 incident CHD events were recorded. The age-adjusted baseline testosterone levels were similar in subjects suffering incident events during FU and those without incident events during FU (men: 15.80 vs. 17.01 nmol L-1 ; P = 0.69, women: 1.14 vs. 1.15 nmol L-1 ; P = 0.92). Weak correlations of testosterone levels were found with smoking (R = 0.09; P < 0.001), HDL

2019 Journal of internal medicine

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