Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Epidemiology and risk factors

05.09.2005


The fact that cardiovascular disease (CVD) is the number one killer of European women is still not widely known, nor is that women are disadvantaged in terms of risk assessment, diagnosis, prognosis and treatment.



CVD is the biggest cause of death in European women, accounting for 40% of all deaths- twice as much as all cancers combined. Coronary heart disease (CHD) and stroke together are TEN times commoner than breast cancer, yet many women -and indeed health professionals- appear unaware of this.

Risk of cardiovascular disease in both sexes is related to age, smoking, blood cholesterol level and blood pressure; while women develop CVD ten years after men, it is more lethal when it occurs one year after a heart attack (42% of women will be dead, compared to 24% of men). A woman with multiple risk factors loses her "age advantage" and may be at higher risk than a man the same age. Diabetes is a particularly potent risk factor in women.


Diagnosis and Treatment

Women are less likely to be investigated for heart disease, diagnosed correctly, referred for specialist investigation, offered revascularization, have adequate risk factor assessment or be offered appropriate drug therapy such as aspirin, beta-blockers and cholesterol lowering medication. They are seriously under-represented in therapeutic trials, resulting in a less adequate evidence base for treatment.

New Points from the Conference

  • Women are less likely to be offered percutaneous interventions (angioplasty and stents) than men and do less well when they do receive them. Underutilization of drug treatments has been confirmed.
  • Young female diabetics are at high risk, and have a disproportionately high mortality when they do get a heart attack.
  • Women who have an out of hospital cardiac arrest are less likely to survive than men.
  • Women with chest pain and apparently normal coronary arteries on coronary angiography may have severe atherosclerosis when assessed with intravascular ultrasound (IVUS). They develop more acute coronary syndromes (heart attacks and unstable angina) over follow-up than men.

Conclusions

There is a major need to communicate these findings to the public, health planners and indeed health professionals. More research is needed into the clinical presentation of CVD in women and why health professionals and indeed perhaps women themselves seem to underestimate the problem. Therapeutic trials planners need to recognize that CVD is, if anything, a bigger problem for women than men. New detection and management strategies are needed, and new recommendations on CVD evaluation, prevention and management need to reflect this new knowledge. Ultimately, as with all aspects of CVD prevention, the challenge is to "de-medicalise" the problem and make self risk assessment and management accessible to all from childhood on.

Gina Dellios | alfa
Further information:
http://www.escardio.org/vpo/ESC_congress_information/ConferenceReleases/

More articles from Health and Medicine:

nachricht Penn vet research identifies new target for taming Ebola
12.01.2017 | University of Pennsylvania

nachricht The strange double life of Dab2
10.01.2017 | University of Miami Miller School of Medicine

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Designing Architecture with Solar Building Envelopes

Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.

As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...

Im Focus: How to inflate a hardened concrete shell with a weight of 80 t

At TU Wien, an alternative for resource intensive formwork for the construction of concrete domes was developed. It is now used in a test dome for the Austrian Federal Railways Infrastructure (ÖBB Infrastruktur).

Concrete shells are efficient structures, but not very resource efficient. The formwork for the construction of concrete domes alone requires a high amount of...

Im Focus: Bacterial Pac Man molecule snaps at sugar

Many pathogens use certain sugar compounds from their host to help conceal themselves against the immune system. Scientists at the University of Bonn have now, in cooperation with researchers at the University of York in the United Kingdom, analyzed the dynamics of a bacterial molecule that is involved in this process. They demonstrate that the protein grabs onto the sugar molecule with a Pac Man-like chewing motion and holds it until it can be used. Their results could help design therapeutics that could make the protein poorer at grabbing and holding and hence compromise the pathogen in the host. The study has now been published in “Biophysical Journal”.

The cells of the mouth, nose and intestinal mucosa produce large quantities of a chemical called sialic acid. Many bacteria possess a special transport system...

Im Focus: Newly proposed reference datasets improve weather satellite data quality

UMD, NOAA collaboration demonstrates suitability of in-orbit datasets for weather satellite calibration

"Traffic and weather, together on the hour!" blasts your local radio station, while your smartphone knows the weather halfway across the world. A network of...

Im Focus: Repairing defects in fiber-reinforced plastics more efficiently

Fiber-reinforced plastics (FRP) are frequently used in the aeronautic and automobile industry. However, the repair of workpieces made of these composite materials is often less profitable than exchanging the part. In order to increase the lifetime of FRP parts and to make them more eco-efficient, the Laser Zentrum Hannover e.V. (LZH) and the Apodius GmbH want to combine a new measuring device for fiber layer orientation with an innovative laser-based repair process.

Defects in FRP pieces may be production or operation-related. Whether or not repair is cost-effective depends on the geometry of the defective area, the tools...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

12V, 48V, high-voltage – trends in E/E automotive architecture

10.01.2017 | Event News

2nd Conference on Non-Textual Information on 10 and 11 May 2017 in Hannover

09.01.2017 | Event News

Nothing will happen without batteries making it happen!

05.01.2017 | Event News

 
Latest News

Multiregional brain on a chip

16.01.2017 | Power and Electrical Engineering

New technology enables 5-D imaging in live animals, humans

16.01.2017 | Information Technology

Researchers develop environmentally friendly soy air filter

16.01.2017 | Power and Electrical Engineering

VideoLinks
B2B-VideoLinks
More VideoLinks >>>