Women and Heart Disease

Question 1

Metabolic syndrome criteria for women

Answer 1

HDL 150
waist >35 inches (men >40 in)
BP >130/85
use of med for bp/lipid control

Question 2

Framingham risk vs Reynolds risk

Answer 2

Reynolds includes CRP and family hx

Question 3

Estrogen effects on cholesterol

Answer 3

decreases LDL, increases HDL, decreases Lpa

Question 4

Hypertension in women issues
asa
effect rx

Answer 4

asa decreases risk of cva (womens’s health study)
didnt decrease risk of mi
women more likely to have renovascular htn
women are more likely to be aware of htn dx

Question 5

stress testing
class 1, class 3 indication

Answer 5

intermediate risk best testing

Question 6

Calcium scores in women

Answer 6

mortality higher in women than men in scores >100

Question 7

ACS outcomes women

Answer 7

higher unadjusted mortality
young women smokers higher risk
higher bleeding risk

Question 8

ACS women

Answer 8

low risk women less invasive better

Question 9

Hormonal rx for prevention of cvd

Answer 9

not used for prevention

Question 10

secondary prevention with hormone rx women

Answer 10

increased mi

Question 11

womens’ health initiative study

Answer 11

increased breast ca
increase chd
increase stroke
increase vte
benefit less colorect ca and less hip fx

Question 12

women vs men afib

Answer 12

higher mortality

Question 13

preclampsia

Answer 13

higher risk