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Perspectives on dyslipidemia and coronary heart disease in women.

Abstract：

:Coronary heart disease (CHD) remains the leading cause of death among American women. Numerous differences exist between younger and older women and between women and men with respect to the pathology of CHD and its incidence and prevalence over the life cycle. Differences in lipoprotein levels and lipid fractions play an important role in CHD risk. Hormonal influences on lipoprotein levels in women are complex, change throughout the life span, and are influenced by the administration of oral contraceptives and hormone replacement therapy. Women with obesity, metabolic syndrome, or diabetes have lipid profiles that adversely affect CHD risk. To date, no randomized trials testing the impact of lifestyle changes on lipoprotein levels and subsequent CHD events in non-institutionalized women have been performed, and women have not been well represented in clinical end point trials of pharmacologic lipid-lowering therapy. Available evidence suggests that lipid-lowering therapy with statins does provide benefit in reducing the risk of coronary events in women; however, women remain undertreated, and more data are needed to determine optimal cardiovascular prevention and treatment in this population.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Bittner V

doi

10.1016/j.jacc.2005.05.089

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

1628-35

issue

9

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(05)01793-6

journal_volume

46

pub_type

杂志文章,评审

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