Women and CVD

Question 1

What are the Class III indications for CVD prevention in women

Answer 1

Contraindicated drugs:

Menopausal therapy
Antioxidant supplements
Folic Acid
Aspirin for MI in women <65

Question 2

When are women less likely to develop CVD

Answer 2

If they reach middle age with no risk factors for CVD (obesity, TC, etc.) they are much less likely to develop CVD

Question 3

Should hs-CRP screening occur?

Answer 3

No

Question 4

Unique risk factors for women (pregnancy)

Answer 4

Pre-eclampsia, HTN, and diabetes during pregnancy

Question 5

Signs of the unique risk factors in women (pregnancy)

Answer 5

• Decreased EF
• Stenotic valvular lesions
• NYHA III, IV or cyanosis
• Severe pulmonary HTN

Question 6

Other unique risk factors

Answer 6

• PCOS
• Early menarche (before 12)
• Early menopause (before 46)
• Depression

Question 7

What is the goal BMI

Answer 7

<35 inches

Question 8

Should statins be used w/ pregnancy?

Answer 8

No. should stop 3 months before trying to get pregnant

Question 9

Safe antiHTN in pregnancy

Answer 9

Methyldopa
Hydralazine
Labetalol
Nifedipine

Question 10

Which drugs should be avoided in pregnancy/preconception

Answer 10

ACEi, ARB

Statins