This is why pregnancy problems increase the risk of heart disease in women

Pregnancy complications and early menopause increase a woman’s risk of heart disease in the future, a new study suggests. The study was published in the European Heart Journal. Cardiologists, gynecologists, and endocrinologists have suggested how to help middle-aged women prevent heart problems later in the study.

“Intensive physicians should detect hypertension in middle-aged women,” the study said. Up to 50 percent of women develop high blood pressure before the age of 60 but the symptoms – for example, hot flashes and palpitations – are often the result of menopause.

“Hip hypertension in men is called high blood pressure but in women, it is often referred to as ‘weight’ or ‘menopausal symptoms’,” said first author Professor Angela Maas, director Women’s Cardia Health Program, Radboud University Medical Center, Nijmegen, The Netherlands.

“We know that blood pressure is not treated as well in women compared to men, putting them at risk for atrial fibrillation, heart failure, and stroke – which could have been avoided,” Maas said. .

Maas also noted that a woman’s life implies that you need to start early with prevention. Pre-eclampsia is associated with a fourfold increase in heart and hip failure and a double risk of stroke.

Women with natural early menopause (i.e. not surgery) before the age of 40 are also more likely to develop cardiovascular disease – each year is associated with a 3 percent increased risk. Autoimmune inflammatory conditions such as rheumatoid arthritis and lupus are more common in women compared to men and increase cardiovascular risk around menopause.

“There are several stages of life when we can identify subgroups of high-risk women,” Dr. Maas said.

“High blood pressure during pregnancy is a warning sign that hip tolerance may develop when a woman enters menopause and is associated with depression many decades later. If blood pressure is not treated when women are in their 40s or 50s, they will have problems in their 70s when blood transfusions are more difficult to treat, “Maas said.

The study also provided guidance on how to manage heart health during menopause, after pregnancy complications, and during other conditions such as breast cancer and polycystic ovarian syndrome (PCOS).

The important role of a healthy lifestyle and diet has been recognized – an example for the optimal management of menopausal health and in women with PCOS, who have high risks of high blood pressure during pregnancy and type 2 diabetes. .

While menopausal hormone therapy is indicated to relieve symptoms such as night sweats and hot flashes in women older than 45, the authors recommend assessing cardiovascular risk factors before onset. Treatment is not recommended in women who are at high cardiovascular risk or after a stroke, heart attack, or blood clot.

The study also offered advice to transgender women (people who were assigned male at birth). “These women need hormone therapy for the rest of their lives and the risk of blood clots increases over time,” Dr. Maas said.

The study identified that transgender women should “always be encouraged to reduce the risks of a changing lifestyle” while acknowledging that “the psychosocial benefits of hormone therapy with improved body image may lead to healthier lifestyle choices ”.

Collaboration between cardiologists, gynecologists and endocrinologists is needed to provide the best possible care for female patients, Dr. Maas said.

She said, “Women can help their doctors prevent heart problems and get tests done earlier by reporting issues such as complex pregnancies and early menopause and monitoring their condition. their own blood pressure. ”

This story was published from a wire group group with no text changes. Only the headline has changed.

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