Elisabeth von der Lohe's Coronary Heart Disease in Women: Prevention - Diagnosis - PDF

By Elisabeth von der Lohe

ISBN-10: 354000128X

ISBN-13: 9783540001287

ISBN-10: 3642555535

ISBN-13: 9783642555534

Take good thing about new insights into prevention, analysis and remedy of heart illness in girls - to the advantage of your sufferers. Designed to optimize your day-by-day perform, this ebook provides lucid, updated solutions to various questions:

- What are the hazards and advantages of hormone alternative therapy?

- What are the key possibility components for heart disorder in women?

- What are the main acceptable diagnostic checks in women?

- that is the higher remedy alternative for the girl with myocardial infarction - lysis or fundamental angioplasty?

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Extra info for Coronary Heart Disease in Women: Prevention - Diagnosis - Therapy

Example text

Under age 45 years, hypertension is more common in men than in women; however, after age 60 years, the age-associated rise in blood pressure is more pronounced in women than in men (Bittner and Oparil 1993). Seventy percent of women 65 years or older and 80 % of women 75 years or older are hypertensive. After age 80 years the prevalence of hypertension is 14 % higher in women than in men. Furthermore, isolated systolic hypertension is more prevalent among women than among men. Obesity, frequently associated with hypertension, is also strongly linked to the development of hypertension, especially in women.

A possible ex- planation is the fact that women more often smoke to lose or maintain body weight (Hermanson et al. 1988). 17 Dyslipidemia 2 Dyslipidemia Lipoproteins play an important role in the development and rupture of atherosclerotic plaques. The most important serum lipids are: D Cholesterol D Triglycerides D Fatty acids D Phospholipids Lipids are water insoluble. In order to disperse in the aqueous blood system, lipids are generally transported as part of particles, termed lipoproteins; these are composed of protein, phospholipids, triglycerides, and cholesterol.

22 Chapter 2 · Cardiovascular Risk Factors and the Development of Coronary Heart Disease In Women Insulin resistance and hyperinsulinemia are frequently associated with numerous abnormalities that are atherogenic (Laws et al. 1993): D Impaired glucose tolerance D Diabetes mellitus D Hypertriglyceridemia D Hyperuricemia D Hypertension D Low HDL D High LDL This clustering of risk factors has been termed insulin resistance syndrome (see table). Characteristics of insulin resistance syndrome – Insulin resistance – Hyperinsulinemia – Hypertriglyceridemia – Low HDL – High VLDL – Small dense LDL – Hyperuricemia – Hypertension – Abnormal fibrinolytic activity Weight loss and/or regular physical activity (especially aerobic fitness) have a major positive impact on insulin sensitivity.

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Coronary Heart Disease in Women: Prevention - Diagnosis - Therapy by Elisabeth von der Lohe


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