Cardiovascular Disease in Women: Clinical Perspectives.

Abstract:

:Cardiovascular disease continues to be the leading cause of death among women in the United States, accounting for ≈1 of every 3 female deaths. Sex-specific data focused on cardiovascular disease have been increasing steadily, yet is not routinely collected nor translated into practice. This comprehensive review focuses on novel and unique aspects of cardiovascular health in women and sex differences as they relate to clinical practice in the prevention, diagnosis, and treatment of cardiovascular disease. This review also provides current approaches to the evaluation and treatment of acute coronary syndromes that are more prevalent in women, including myocardial infarction associated with nonobstructive coronary arteries, spontaneous coronary artery dissection, and stress-induced cardiomyopathy (Takotsubo Syndrome). Other cardiovascular disease entities with higher prevalence or unique considerations in women, such as heart failure with preserved ejection fraction, peripheral arterial disease, and abdominal aortic aneurysms, are also briefly reviewed. Finally, recommendations for cardiac rehabilitation are addressed.

journal_name

Circ Res

journal_title

Circulation research

authors

Garcia M,Mulvagh SL,Merz CN,Buring JE,Manson JE

doi

10.1161/CIRCRESAHA.116.307547

subject

Has Abstract

pub_date

2016-04-15 00:00:00

pages

1273-93

issue

8

eissn

0009-7330

issn

1524-4571

pii

CIRCRESAHA.116.307547

journal_volume

118

pub_type

杂志文章,评审
  • Strongly binding myosin crossbridges regulate loaded shortening and power output in cardiac myocytes.

    abstract::This study investigated the possible roles of strongly binding myosin crossbridges in determining loaded shortening and power output in cardiac myocytes. Single skinned cardiac myocytes were attached between a force transducer and position motor, and shortening velocities were measured over a range of loads during var...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.87.9.768

    authors: McDonald KS,Moss RL

    更新日期:2000-10-27 00:00:00

  • Permanent alteration of PCSK9 with in vivo CRISPR-Cas9 genome editing.

    abstract:RATIONALE:Individuals with naturally occurring loss-of-function proprotein convertase subtilisin/kexin type 9 (PCSK9) mutations experience reduced low-density lipoprotein cholesterol levels and protection against cardiovascular disease. OBJECTIVE:The goal of this study was to assess whether genome editing using a clus...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.115.304351

    authors: Ding Q,Strong A,Patel KM,Ng SL,Gosis BS,Regan SN,Cowan CA,Rader DJ,Musunuru K

    更新日期:2014-08-15 00:00:00

  • IK1 heterogeneity affects genesis and stability of spiral waves in cardiac myocyte monolayers.

    abstract::Previous studies have postulated an important role for the inwardly rectifying potassium current (I(K1)) in controlling the dynamics of electrophysiological spiral waves responsible for ventricular tachycardia and fibrillation. In this study, we developed a novel tissue model of cultured neonatal rat ventricular myocy...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.108.178335

    authors: Sekar RB,Kizana E,Cho HC,Molitoris JM,Hesketh GG,Eaton BP,Marbán E,Tung L

    更新日期:2009-02-13 00:00:00

  • Magnetic measurement of S-T and T-Q segment shifts in humans. Part II: Exercise-induced S-T segment depression.

    abstract::The direct-current magnetocardiogram, which shows the T-Q (baseline) shift, is used to clarify the cause of S-T depression induced by stress testing in the human heart. Measurements are made of the amount of baseline shift associated with the S-T depression. Results are presented of a well-documented patient, with typ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.53.2.274

    authors: Cohen D,Savard P,Rifkin RD,Lepeschkin E,Strauss WE

    更新日期:1983-08-01 00:00:00

  • Potentiation by hypercholesterolemia of the induction of aortic intramural synthesis of plasminogen activator inhibitor type 1 by endothelial injury.

    abstract::Accumulation of plasminogen activator inhibitor type 1 (PAI-1) in the arterial wall may accelerate atherogenesis by inhibiting fibrinolysis, diminishing proteolysis of extracellular matrix proteins, or modifying migration of vascular smooth muscle cells. Increased intramural expression of the PAI-1 gene is induced by ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.73.4.671

    authors: Sawa H,Sobel BE,Fujii S

    更新日期:1993-10-01 00:00:00

  • Historical perspective on the pathology of myocardial ischemia/reperfusion injury.

    abstract::A selective history of the pathophysiological, structural, and metabolic changes found during an episode of severe myocardial ischemia in the canine heart is presented. The changes that cause ischemic injury to become irreversible are discussed in detail because these changes are the target of any successful therapy d...

    journal_title:Circulation research

    pub_type: 历史文章,杂志文章,评审

    doi:10.1161/CIRCRESAHA.113.300987

    authors: Jennings RB

    更新日期:2013-08-02 00:00:00

  • Relative contributions of connexins 40 and 43 to atrial impulse propagation in synthetic strands of neonatal and fetal murine cardiomyocytes.

    abstract::Atrial tissue expresses both connexin 40 (Cx40) and 43 (Cx43) proteins. To assess the relative roles of Cx40 and Cx43 in atrial electrical propagation, we synthesized cultured strands of atrial myocytes derived from mice with genetic deficiency in Cx40 or Cx43 expression and measured propagation velocity (PV) by high-...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.RES.0000250607.34498.b4

    authors: Beauchamp P,Yamada KA,Baertschi AJ,Green K,Kanter EM,Saffitz JE,Kléber AG

    更新日期:2006-11-24 00:00:00

  • Periostin: A Potential Therapeutic Target For Pulmonary Hypertension?

    abstract:RATIONALE:POSTN (Periostin) is an ECM (extracellular matrix) protein involved in tissue remodeling in response to injury and a contributing factor in tumorigenesis, suggesting that POSTN plays a role in the pathogenesis of pulmonary hypertension (PH). OBJECTIVE:We aimed to gain insight into the mechanistic contributio...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.120.316943

    authors: Nie X,Shen C,Tan J,Wu Z,Wang W,Chen Y,Dai Y,Yang X,Ye S,Chen J,Bian JS

    更新日期:2020-10-09 00:00:00

  • Role of dynamin-related protein 1 (Drp1)-mediated mitochondrial fission in oxygen sensing and constriction of the ductus arteriosus.

    abstract:RATIONALE:Closure of the ductus arteriosus (DA) is essential for the transition from fetal to neonatal patterns of circulation. Initial PO2-dependent vasoconstriction causes functional DA closure within minutes. Within days a fibrogenic, proliferative mechanism causes anatomic closure. Though modulated by endothelial-d...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.111.300285

    authors: Hong Z,Kutty S,Toth PT,Marsboom G,Hammel JM,Chamberlain C,Ryan JJ,Zhang HJ,Sharp WW,Morrow E,Trivedi K,Weir EK,Archer SL

    更新日期:2013-03-01 00:00:00

  • Disease pathways and novel therapeutic targets in hypertrophic cardiomyopathy.

    abstract::As described in earlier reviews in this series on the molecular basis of hypertrophic cardiomyopathy (HCM), HCM is one of the archetypal monogenic cardiovascular disorders to be understood at the molecular level. Twenty years after the discovery of the first HCM disease gene, genetic studies still confirm that HCM is ...

    journal_title:Circulation research

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCRESAHA.111.242974

    authors: Ashrafian H,McKenna WJ,Watkins H

    更新日期:2011-06-24 00:00:00

  • Changes in central catecholaminergic neurons in the spontaneously (genetic) hypertensive rat.

    abstract::Catecholamines and catecholamine-synthesizing enzymes have been examined in specific brain areas during the development of spontaneously (genetic) hypertensive (SH) rats. Changes in catecholamine metabolism were localized to regions of the brain implicated in the regulation of blood pressure. Norepinephrine levels and...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.42.4.529

    authors: Saavedra JM,Grobecker H,Axelrod J

    更新日期:1978-04-01 00:00:00

  • Dominant-negative control of cAMP-dependent IKs upregulation in human long-QT syndrome type 1.

    abstract:RATIONALE:The mutation A341V in the S6 transmembrane segment of KCNQ1, the α-subunit of the slowly activating delayed-rectifier K(+) (I(Ks)) channel, predisposes to a severe long-QT1 syndrome with sympathetic-triggered ventricular tachyarrhythmias and sudden cardiac death. OBJECTIVE:Several genetic risk modifiers have...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.111.249482

    authors: Heijman J,Spätjens RL,Seyen SR,Lentink V,Kuijpers HJ,Boulet IR,de Windt LJ,David M,Volders PG

    更新日期:2012-01-20 00:00:00

  • Cystatin C deficiency increases elastic lamina degradation and aortic dilatation in apolipoprotein E-null mice.

    abstract::The pathogenesis of atherosclerosis and abdominal aortic aneurysm involves substantial proteolysis of the arterial extracellular matrix. The lysosomal cysteine proteases can exert potent elastolytic and collagenolytic activity. Human atherosclerotic plaques have increased cysteine protease content and decreased levels...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.RES.0000155964.34150.F7

    authors: Sukhova GK,Wang B,Libby P,Pan JH,Zhang Y,Grubb A,Fang K,Chapman HA,Shi GP

    更新日期:2005-02-18 00:00:00

  • Hormonal dependence of the effects of metabolic encephalopathy on cerebral perfusion and oxygen utilization in the rat.

    abstract::Previous studies have demonstrated that in adult rats with chronic hyponatremia, both symptoms of encephalopathy and mortality largely depend upon the gender of the animal and the presence of elevated plasma levels of vasopressin (AVP). Since effects of AVP on blood vessels may be gender dependent, the present study w...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.76.4.551

    authors: Kozniewska E,Roberts TP,Vexler ZS,Oseka M,Kucharczyk J,Arieff AI

    更新日期:1995-04-01 00:00:00

  • Mutation in the ARH gene and a chromosome 13q locus influence cholesterol levels in a new form of digenic-recessive familial hypercholesterolemia.

    abstract::We studied a Syrian family with 3 children who had low-density lipoprotein cholesterol (LDL) concentrations of 13.3, 12.2, and 8.6 mmol/L, respectively. Three other siblings and the parents all had LDL values <4.52 mmol/L, suggesting an autosomal-recessive mode of inheritance. The extended pedigree had 66 additional p...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.0000018002.43041.08

    authors: Al-Kateb H,Bähring S,Hoffmann K,Strauch K,Busjahn A,Nürnberg G,Jouma M,Bautz EK,Dresel HA,Luft FC

    更新日期:2002-05-17 00:00:00

  • Connexin 43 downregulation and dephosphorylation in nonischemic heart failure is associated with enhanced colocalized protein phosphatase type 2A.

    abstract::In nonischemic heart failure (HF), ventricular tachycardia initiates by a nonreentrant mechanism, but there is altered conduction (that could lead to re-entry) that could arise from changes in gap junctional proteins, especially connexin43 (Cx43). We studied Cx43 expression and phosphorylation state in the left ventri...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.RES.0000152325.07495.5a

    authors: Ai X,Pogwizd SM

    更新日期:2005-01-07 00:00:00

  • Membrane potential fluctuations and transient inward currents induced by reactive oxygen intermediates in isolated rabbit ventricular cells.

    abstract::The cellular basis of reactive oxygen intermediate-induced arrhythmias was investigated in isolated rabbit ventricular cells using the whole-cell voltage- and current-clamp techniques. Singlet oxygen and superoxide were generated by the photoactivation of rose bengal. Single ventricular cells exposed to rose bengal (1...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.68.2.319

    authors: Matsuura H,Shattock MJ

    更新日期:1991-02-01 00:00:00

  • Cardiac sympathetic afferent cell bodies are located in the peripheral nervous system of the cat.

    abstract::Studies of the stellate ganglion and middle cervical ganglion indicate that sympathetic efferent nerve activity can be modified by peripheral excitatory inputs and that these neural connections may function as pathways for a peripheral reflex at the level of the thoracic sympathetic ganglia. This excitatory synaptic i...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.64.3.554

    authors: Bosnjak ZJ,Kampine JP

    更新日期:1989-03-01 00:00:00

  • Endocardial versus epicardial differences of intracellular free calcium under normal and ischemic conditions in perfused rat hearts.

    abstract::Transmural heterogeneity of myocardial metabolism and function are present in the left ventricle under normal and ischemic conditions. To determine if endocardial versus epicardial differences of [Ca2+]i are also present, perfused rat heart studies using indo-1 fluorescence as an index of [Ca2+]i were performed in the...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.72.5.1082

    authors: Figueredo VM,Brandes R,Weiner MW,Massie BM,Camacho SA

    更新日期:1993-05-01 00:00:00

  • Inflammatory interaction between LIGHT and proteinase-activated receptor-2 in endothelial cells: potential role in atherogenesis.

    abstract::The interaction between inflammatory cytokines and endothelial cells is a critical step in atherogenesis leading to endothelial dysfunction and inflammation. We have previously reported that the tumor necrosis factor superfamily member LIGHT could be involved in atherogenesis through its ability to promote vascular in...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.108.188078

    authors: Sandberg WJ,Halvorsen B,Yndestad A,Smith C,Otterdal K,Brosstad FR,Frøland SS,Olofsson PS,Damås JK,Gullestad L,Hansson GK,Oie E,Aukrust P

    更新日期:2009-01-02 00:00:00

  • Pitx2c and Nkx2-5 are required for the formation and identity of the pulmonary myocardium.

    abstract::The pulmonary vein is sleeved by myocardium, which is a major source of atrial fibrillation and is involved in congenital sinus venosus defects. Little is known about the cellular origin and mechanism of formation of the pulmonary myocardium. We observed a biphasic process of pulmonary myocardium formation in mice. Fi...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.107.161182

    authors: Mommersteeg MT,Brown NA,Prall OW,de Gier-de Vries C,Harvey RP,Moorman AF,Christoffels VM

    更新日期:2007-10-26 00:00:00

  • Left ventricular diastolic pressure-segment length relations and end-diastolic distensibility in dogs with coronary stenoses. An angina physiology model.

    abstract::Isovolumic relaxation abnormalities have been noted in the ischemic left ventricle, but altered end-diastolic distensibility, as well as the role of right ventricular distention, is debated. Accordingly, left ventricular end-diastolic pressure and myocardial segment length were studied in the open-chest dogs with crit...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.55.2.203

    authors: Momomura S,Bradley AB,Grossman W

    更新日期:1984-08-01 00:00:00

  • E-cadherin/beta-catenin/T-cell factor pathway is involved in smooth muscle cell proliferation elicited by oxidized low-density lipoprotein.

    abstract::The E-cadherin/beta-catenin/T-cell factor (Tcf) signaling pathway plays a crucial role in embryogenesis and carcinogenesis and has recently emerged in atherosclerosis. The aim of this work was to investigate whether this signaling pathway is involved in smooth muscle cell proliferation induced by oxidized low-density ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.107.166405

    authors: Bedel A,Nègre-Salvayre A,Heeneman S,Grazide MH,Thiers JC,Salvayre R,Maupas-Schwalm F

    更新日期:2008-09-26 00:00:00

  • Heme oxygenase-1 regulates cardiac mitochondrial biogenesis via Nrf2-mediated transcriptional control of nuclear respiratory factor-1.

    abstract::Heme oxygenase (HO)-1 is a protective antioxidant enzyme that prevents cardiomyocyte apoptosis, for instance, during progressive cardiomyopathy. Here we identify a fundamental aspect of the HO-1 protection mechanism by demonstrating that HO-1 activity in mouse heart stimulates the bigenomic mitochondrial biogenesis pr...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.RES.0000338597.71702.ad

    authors: Piantadosi CA,Carraway MS,Babiker A,Suliman HB

    更新日期:2008-11-21 00:00:00

  • Transcriptome Analysis Reveals Nonfoamy Rather Than Foamy Plaque Macrophages Are Proinflammatory in Atherosclerotic Murine Models.

    abstract:RATIONALE:Monocyte infiltration into the subintimal space and its intracellular lipid accumulation are the most prominent features of atherosclerosis. To understand the pathophysiology of atherosclerotic disease, we need to understand the characteristics of lipid-laden foamy macrophages in the subintimal space during a...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.118.312804

    authors: Kim K,Shim D,Lee JS,Zaitsev K,Williams JW,Kim KW,Jang MY,Seok Jang H,Yun TJ,Lee SH,Yoon WK,Prat A,Seidah NG,Choi J,Lee SP,Yoon SH,Nam JW,Seong JK,Oh GT,Randolph GJ,Artyomov MN,Cheong C,Choi JH

    更新日期:2018-10-26 00:00:00

  • Disorders of cellular electrophysiology produced by ischemia of the canine His bundle.

    abstract::In the first 4 hours after occlusion of the anterior septal coronary artery, 18 dogs developed bundle branch block, heart block, or both. The hearts were then excised, and preparations were dissected to expose the His bundle and the bundle branches, which were superfused with modified Tyrode's solution at 37 degrees C...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.36.3.444

    authors: Lazzara R,El-Sherif N,Scherlag BJ

    更新日期:1975-03-01 00:00:00

  • Novel biological functions of high-density lipoprotein cholesterol.

    abstract::In addition to its role in reverse cholesterol transport, high-density lipoprotein (HDL) cholesterol has direct action on numerous cell types that influence cardiovascular and metabolic health. Cellular responses to HDL entail its capacity to invoke cholesterol efflux that causes signal initiation via scavenger recept...

    journal_title:Circulation research

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCRESAHA.111.258673

    authors: Mineo C,Shaul PW

    更新日期:2012-09-28 00:00:00

  • Optical mapping of sarcoplasmic reticulum Ca2+ in the intact heart: ryanodine receptor refractoriness during alternans and fibrillation.

    abstract:RATIONALE:Sarcoplasmic reticulum (SR) Ca(2+) cycling is key to normal excitation-contraction coupling but may also contribute to pathological cardiac alternans and arrhythmia. OBJECTIVE:To measure intra-SR free [Ca(2+)] ([Ca(2+)]SR) changes in intact hearts during alternans and ventricular fibrillation (VF). METHODS ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.114.302505

    authors: Wang L,Myles RC,De Jesus NM,Ohlendorf AK,Bers DM,Ripplinger CM

    更新日期:2014-04-25 00:00:00

  • Troponin I degradation and covalent complex formation accompanies myocardial ischemia/reperfusion injury.

    abstract::Selective troponin I (TnI) modification has been demonstrated to be in part responsible for the contractile dysfunction observed with myocardial ischemia/reperfusion injury. We have isolated and characterized modified TnI products in isolated rat hearts after 0, 15, or 60 minutes of ischemia followed by 45 minutes of ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.84.1.9

    authors: McDonough JL,Arrell DK,Van Eyk JE

    更新日期:1999-01-08 00:00:00

  • Activation of the bone morphogenetic protein receptor by H11kinase/Hsp22 promotes cardiac cell growth and survival.

    abstract::H11 kinase/Hsp22 (H11K) is a chaperone promoting cardiac cell growth and survival through the activation of Akt, a downstream effector of phosphatidylinositol 3-kinase (PI3K). In this study, we tested whether H11K-induced activation of the PI3K/Akt pathway is mediated by the bone morphogenetic protein (BMP) signaling,...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.108.192328

    authors: Sui X,Li D,Qiu H,Gaussin V,Depre C

    更新日期:2009-04-10 00:00:00