Focus on cardiovascular disease in women

  According to the World Heart Federation, heart disease is the number one killer of women worldwide. More than one-third of women die of heart disease or stroke, 18 times more than the death rate from breast cancer and six times more than the death rate from AIDS.  European information shows that 55% of women’s deaths are due to heart disease, 43% of men’s, fully demonstrating the importance of cardiovascular disease in women.  Cardiovascular disease is the leading cause of death for women over 40 years old in China, and is two times more common than malignant tumors, and remains the number one killer of women. Worryingly, the incidence of cardiovascular disease and death rates in men have been declining in recent years, but the incidence of coronary heart disease in women is increasing day by day. Women get heart disease 10-15 years later than men, so the incidence of heart disease in women increases dramatically after the age of 55.  Estrogen has a vasoprotective effect, improving blood vessel elasticity, lowering blood pressure, increasing “good cholesterol” and lowering “bad cholesterol” in the blood, making blood vessels less prone to hardening and blockage, and forming a protective effect. That’s why men account for more than 90% of sudden death cases in young people.  When women enter menopause after the age of 50, the secretion of estrogen decreases dramatically and the umbrella of protection is lost, blood cholesterol begins to rise, HDL (good sterols) decreases, and atherosclerosis gradually occurs in blood vessels. At the same time, women after menopause are more likely to develop risk factors for heart disease, such as hypertension, diabetes, and hyperlipidemia. Therefore, the chances of women suffering from heart disease skyrocket after menopause.  It is important to fully understand the gender differences in cardiovascular diseases and to enhance the comprehensive understanding of women with coronary heart disease and the integrated control of risk factors. Calling women to heart health!  In China, the prevalence of dyslipidemia and hypertension among women aged 35-74 years is 53% and 25%, respectively.  Characteristics of cardiovascular disease risk factors in women: 1. Smoking or secondhand smoke. 2.  2, less exercise, obesity.  3, high stress, depression.  4, menopause is a unique risk factor for women. After menopause, the incidence of blood glucose, lipid levels and hypertension are higher than before menopause.  5, long-term oral contraceptives are prone to hypertension, abnormal blood clotting mechanism, etc., which are risk factors for atherosclerosis.  The trend of heart disease in women is younger, mainly related to family heart disease and smoking.  In recent years, the number of female smokers has increased, and the longer the smoking age, the higher the chances of coronary heart disease. The toxins in cigarettes tend to damage the function of the blood vessel lining and “counteract” the vascular protective effect of estrogen, making coronary heart disease 6-9 times higher in women and 4-6 times higher in men who smoke. Studies have found that women who smoke and also take birth control pills are significantly more likely to develop coronary heart disease, possibly because the hormonal component of the pill increases the chance of blood vessel clots. This shows that smoking is a controllable factor and that women can benefit and play an important role in quitting smoking.