Women and CV Flashcards
High Risk lifetime risk factors
clinical CAD
clinical cerebrovascular disease
clincal PAD
abdominal aortic aneurysm
ESRD or CKD
unique CVD risk factors for women
Pre-eclampsia
PCOS
diabetes during pregnancy
target blood pressure
140/90
150/90 for >60yo
women with ___ have many risk factors for CVD and should be screened for metabolic syndrome, glucose toelrance and ____
PCOS
hyperlipidemia
Afib treatment for women
asparin
coumadin
dabigatran
Class III indiciations - not useful/effective and may be harmful
menopausal hormone therapy
antioxidant supplements
Folic acid
Aspirin for MI in women
women should stop statins ____ months prior to pregnancy
3 months
MI outcomes in women
more will die of unrecognized MI
46% (vs22%) will be disabled by an MI
more likely to die in hospital post MI
reasoning behind differing outcomes
women present later with CAD
fewer studies done
fewer medications
worse post op outcomes
55% less likely referred to rehab
HDL, LDL targets for men and women
Mrn HDL >40, LDL < 70 (nonHDL
women HDL > 50 LDL
Cardiac rehab referral for (5)
Recent ACS or coronary revasc
new or chronic angina
recetn cerebrovascular event
PAD
current HF and LVEF of
early ____ is assoicated with increased lifetime risk of CVD
menarche, menopause
tend to do worse in pregnancy (4)
decreased EF
stenotic valvular lesions
NYHA III, IV or cyanosis
severe pulm HTN
safe HTN drugs in pregnancy
Methyldopa
Hydralazine
labetalol
nifedipine
atypical presentation symptoms in women
non severe, prlonged reproducible chest pain
upper body pain other than chest
No chest pain, but with SOB, fatigue, weakness, palpitations syncope
