Hypertension Across a Woman's Life Cycle
Publication Date
2018
Journal Title
J Am Coll Cardiol
Abstract
© 2018 American College of Cardiology Foundation Hypertension accounts for 1 in 5 deaths among American women, posing a greater burden for women than men, and is among their most important risk factors for death and development of cardiovascular and other diseases. Hypertension affects women in all phases of life, with specific characteristics relating to risk factors and management for primary prevention of hypertension in teenage and young adult women; hypertension in pregnancy; hypertension during use of oral contraceptives and assisted reproductive technologies, lactation, menopause, or hormone replacement; hypertension in elderly women; and issues of race and ethnicity. All are detailed in this review, as is information relative to women in clinical trials of hypertension and medication issues. The overarching message is that effective treatment and control of hypertension improves cardiovascular outcomes. But many knowledge gaps persist, including the contribution of hypertensive disorders of pregnancy to cardiovascular disease risk, the role of hormone replacement, blood pressure targets for elderly women, and so on.
Volume Number
71
Issue Number
16
Pages
1797 - 1813
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
Cardiology
Additional Departments
Occupational Medicine, Epidemiology and Prevention
PMID
DOI
10.1016/j.jacc.2018.02.033