Summary of Updated Recommendations for Primary Prevention of Cardiovascular Disease in Women: JACC State-of-the-Art Review.

Summary of Updated Recommendations for Primary Prevention of Cardiovascular Disease in Women: JACC State-of-the-Art Review.
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DOI:
10.1016/j.jacc.2020.03.060
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发表时间:
2020-05-26
影响因子:
24
通讯作者:
ACC CVD Womens Committee Members
ACC CVD Womens Committee Members
中科院分区:
医学1区
文献类型:
--
作者:
Cho L;Davis M;Elgendy I;Epps K;Lindley KJ;Mehta PK;Michos ED;Minissian M;Pepine C;Vaccarino V;Volgman AS;ACC CVD Womens Committee Members

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心血管疾病(CVD)仍然是美国和全世界妇女发病率和死亡率的主要原因。自2011年以来,美国心脏病学会(ACC)/美国心脏协会没有专门针对女性CVD预防的指南更新。从那时起,除了更新高血压、胆固醇、糖尿病、房颤和一级预防指南外,性别特异性数据的主体也在增长。行政协调会心血管疾病妇女委员会审查了最近的准则和主要研究,以总结与妇女有关的建议。在这次更新中,作者讨论了一些特殊的主题,特别是导致一些争议和混乱的风险因素和治疗方法。具体而言,与性别相关的风险因素,高血压,糖尿病,高脂血症,房颤抗凝,阿司匹林的使用,围绝经期激素治疗和心理社会问题突出。
Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality for women in the United States and worldwide. There has been no American College of Cardiology (ACC)/American Heart Association guideline update specifically for the prevention of CVD in women since 2011. Since then, the body of sex-specific data has grown, in addition to updated hypertension, cholesterol, diabetes, atrial fibrillation, and primary prevention guidelines. The ACC CVD in Women Committee undertook a review of the recent guidelines and major studies to summarize recommendations pertinent to women. In this update, the authors address special topics, particularly the risk factors and treatments that have led to some controversies and confusion. Specifically, sex-related risk factors, hypertension, diabetes, hyperlipidemia, anticoagulation for atrial fibrillation, use of aspirin, perimenopausal hormone therapy, and psychosocial issues are highlighted.
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