Sex-specific physiology and cardiovascular disease

Chrisandra L. Shufelt, Christine Pacheco, Marysia S. Tweet, Virginia M. Miller

Research output: Chapter in Book/Report/Conference proceedingChapter

12 Scopus citations

Abstract

Sex differences in cardiovascular diseases can be classified as those which are specific to one sex and those that differ in incidence, prevalence, etiology, symptomatology, response to treatment, morbidity, and mortality in one sex compared to the other. All sex differences in cardiovascular conditions have their basis in the combined expression of genetic and hormonal differences between women and men. This chapter addresses how understanding basic mechanisms of hormone responses, imaging diagnostics, and integration of genomics and proteomics has advanced diagnosis and improved outcomes for cardiovascular conditions, apart from those related to pregnancy that are more prevalent in women. These conditions include obstructive coronary artery disease, coronary microvascular dysfunction, spontaneous coronary artery dissection, diseases of the cardiac muscle including heart failure and takotsubo cardiomyopathy, and conditions related to neurovascular dysregulation including hot flashes and night sweats associated with menopause and effects of exogenous hormones on vascular function. Improvement in technologies allowing for noninvasive assessment of neuronally mediated vascular reactivity will further improve our understanding of the basic etiology of the neurovascular disorders. Consideration of sex, hormonal status, and pregnancy history in diagnosis and treatment protocols will improve prevention and outcomes of cardiovascular disease in women as they age.

Original languageEnglish (US)
Title of host publicationAdvances in Experimental Medicine and Biology
PublisherSpringer New York LLC
Pages433-454
Number of pages22
DOIs
StatePublished - 2018

Publication series

NameAdvances in Experimental Medicine and Biology
Volume1065
ISSN (Print)0065-2598
ISSN (Electronic)2214-8019

Keywords

  • 17β-estradiol
  • Atrial fibrillation
  • Cardiomyopathy
  • Coronary microvascular dysfunction
  • Endothelial dysfunction
  • Heart failure
  • Hot flashes
  • INOCA
  • Ischemic nonobstructive coronary artery disease
  • Menopause
  • Migraine
  • SCAD
  • Spontaneous coronary artery dissection
  • Takotsubo
  • Vasomotor symptoms

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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