1
|
Manzo-Silberman S, Chabbert-Buffet N, Roux E, Parisi M, Regidor PA, Mounier-Vehier C. Prevalence of cumulative cardiovascular risk factors among women of childbearing age in France: Results of the GYNRISK® survey. J Gynecol Obstet Hum Reprod 2025; 54:102859. [PMID: 39368653 DOI: 10.1016/j.jogoh.2024.102859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Revised: 09/12/2024] [Accepted: 09/29/2024] [Indexed: 10/07/2024]
Abstract
Global burden of cardiovascular disease is growing worldwide among women, particularly in younger women. Corresponding increases in the number and severity of cardiovascular risk factors (CVRF) associated with a greater impact in women could explain this increase in incidence. The prevalence of CVRF remains poorly known within young women, especially their cumulative prevalence. This study aimed to determine the prevalence of traditional and emerging CVRF, including female-specific CVRF, in young French women of childbearing age (16-45 years). The GYNRISK® survey aimed to analyse the magnitude and cumulation of CVRF. Two thousand women, representative of the general population, completed a self-administered, computer-assisted web interviewing survey. Results highlighted the high prevalence of traditional CVRF (73.8 % with at least one CVRF). Modifiable CVRF were also particularly high, especially overweight/obesity (31.3 %), tobacco/cannabis consumption (24.0 %), sedentary lifestyle (55.4 %), low fruit and vegetable intake (83.6 %), and poor health literacy (87.2 %). Additionally, a high prevalence of accumulated CVRF was reported, with 37.8 % of young French women having ≥2 traditional CVRF, 69.6 % having ≥1 traditional and ≥1 emergent CVRF, and 73.3 % having ≥1 traditional in addition to ≥1 lifestyle associated CVRF. Among women receiving combined hormonal contraception (CHC), 34.0 % had a contraindication for CHC due of the presence of CVRF (single or cumulative) according to recommendations. GYNRISK® survey highlighted the need for more data in this understudied population of young women. Increasing knowledge, screening, prevention, and information, with targeting on modifiable CVRF must be a priority to reduce women cardiovascular burden.
Collapse
Affiliation(s)
- Stéphane Manzo-Silberman
- Sorbonne University, Institute of Cardiology- Hôpital Pitié-Salpêtrière (AP-HP), ACTION Study Group, Paris, France.
| | | | | | | | | | | |
Collapse
|
2
|
Zimmermann K, Cui Ms L, Kaur R, Ford C, Carnahan LR, Jefferies P, Curtis Mpa P, Khare MM. Implementation and Reach of Health Coaching Using Motivational Interviewing to Reduce Cardiovascular Disease Risk in Uninsured Illinois Women. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2024; 30:S152-S161. [PMID: 39041751 PMCID: PMC11268789 DOI: 10.1097/phh.0000000000001926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/24/2024]
Abstract
CONTEXT Cardiovascular disease (CVD) is the leading cause of mortality for US women; lack of health insurance contributes to poor control of risk factors and increased mortality. Health coaching including motivational interviewing can support primary and secondary CVD prevention, but among uninsured women, improving health outcomes is dependent on successfully reaching priority populations. OBJECTIVE We evaluated the implementation and reach of health coaching with motivational interviewing among clients in the Illinois WISEWOMAN Program (IWP), a CVD screening and risk-reduction program for uninsured women aged 40 to 64. INTERVENTION Following CVD screening, motivational interviewing is offered to all IWP clients via four 30-min one-on-one health coaching sessions to offer personalized guidance on setting and achieving health behavior goals. SETTING Our analysis included clients from the eight community-based Illinois agencies that implemented IWP from 2019 to 2023. DESIGN AND MEASURES We assessed client demographic and baseline health characteristics among all IWP clients, those who participated in health coaching by attending at least one session, and those who completed health coaching by attending at least three of four sessions. We also assessed health coaching participation and completion by agency and examined agency-specific associations between client characteristics and health coaching participation and completion. RESULTS Among IWP enrollees (n = 3094), 89.7% participated in at least one health coaching session but only 31.4% completed health coaching by attending at least three sessions. Over 90% of IWP clients participated in at least one health coaching session at 4 IWP agencies. Further, over 85% of health coaching participants completed health coaching at four agencies. Across agencies, no client-level characteristics were consistently associated with health coaching participation or completion. CONCLUSIONS High motivational interviewing participation rates support its acceptability among uninsured women, but agency-level community-level barriers likely prevent client engagement in multiple sessions. Reducing CVD risk requires working with partner agencies to address barriers to reaching the priority population.
Collapse
Affiliation(s)
- Kristine Zimmermann
- Health Research and Evaluation Division of the Department of Family and Community Medicine, College of Medicine, University of Illinois Rockford, Rockford, (Drs Zimmerman and Kaur, Ms Ford, and Dr Khare); Epidemiology and Biostatistics Division in the School of Public Health, (Mr Cui); Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, (Drs Zimmermann and Carnahan); University of Illinois Cancer Center, Chicago, (Dr Carnahan); and Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
- Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Carnahan)
- University of Illinois Cancer Center, Chicago, Illinois (Dr Carnahan)
- Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
| | - Liyong Cui Ms
- Health Research and Evaluation Division of the Department of Family and Community Medicine, College of Medicine, University of Illinois Rockford, Rockford, (Drs Zimmerman and Kaur, Ms Ford, and Dr Khare); Epidemiology and Biostatistics Division in the School of Public Health, (Mr Cui); Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, (Drs Zimmermann and Carnahan); University of Illinois Cancer Center, Chicago, (Dr Carnahan); and Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
- Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Carnahan)
- University of Illinois Cancer Center, Chicago, Illinois (Dr Carnahan)
- Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
| | - Ravneet Kaur
- Health Research and Evaluation Division of the Department of Family and Community Medicine, College of Medicine, University of Illinois Rockford, Rockford, (Drs Zimmerman and Kaur, Ms Ford, and Dr Khare); Epidemiology and Biostatistics Division in the School of Public Health, (Mr Cui); Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, (Drs Zimmermann and Carnahan); University of Illinois Cancer Center, Chicago, (Dr Carnahan); and Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
- Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Carnahan)
- University of Illinois Cancer Center, Chicago, Illinois (Dr Carnahan)
- Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
| | - Chloe Ford
- Health Research and Evaluation Division of the Department of Family and Community Medicine, College of Medicine, University of Illinois Rockford, Rockford, (Drs Zimmerman and Kaur, Ms Ford, and Dr Khare); Epidemiology and Biostatistics Division in the School of Public Health, (Mr Cui); Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, (Drs Zimmermann and Carnahan); University of Illinois Cancer Center, Chicago, (Dr Carnahan); and Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
- Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Carnahan)
- University of Illinois Cancer Center, Chicago, Illinois (Dr Carnahan)
- Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
| | - Leslie R Carnahan
- Health Research and Evaluation Division of the Department of Family and Community Medicine, College of Medicine, University of Illinois Rockford, Rockford, (Drs Zimmerman and Kaur, Ms Ford, and Dr Khare); Epidemiology and Biostatistics Division in the School of Public Health, (Mr Cui); Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, (Drs Zimmermann and Carnahan); University of Illinois Cancer Center, Chicago, (Dr Carnahan); and Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
- Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Carnahan)
- University of Illinois Cancer Center, Chicago, Illinois (Dr Carnahan)
- Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
| | - Pam Jefferies
- Health Research and Evaluation Division of the Department of Family and Community Medicine, College of Medicine, University of Illinois Rockford, Rockford, (Drs Zimmerman and Kaur, Ms Ford, and Dr Khare); Epidemiology and Biostatistics Division in the School of Public Health, (Mr Cui); Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, (Drs Zimmermann and Carnahan); University of Illinois Cancer Center, Chicago, (Dr Carnahan); and Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
- Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Carnahan)
- University of Illinois Cancer Center, Chicago, Illinois (Dr Carnahan)
- Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
| | - Phallisha Curtis Mpa
- Health Research and Evaluation Division of the Department of Family and Community Medicine, College of Medicine, University of Illinois Rockford, Rockford, (Drs Zimmerman and Kaur, Ms Ford, and Dr Khare); Epidemiology and Biostatistics Division in the School of Public Health, (Mr Cui); Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, (Drs Zimmermann and Carnahan); University of Illinois Cancer Center, Chicago, (Dr Carnahan); and Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
- Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Carnahan)
- University of Illinois Cancer Center, Chicago, Illinois (Dr Carnahan)
- Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
| | - Manorama M Khare
- Health Research and Evaluation Division of the Department of Family and Community Medicine, College of Medicine, University of Illinois Rockford, Rockford, (Drs Zimmerman and Kaur, Ms Ford, and Dr Khare); Epidemiology and Biostatistics Division in the School of Public Health, (Mr Cui); Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, (Drs Zimmermann and Carnahan); University of Illinois Cancer Center, Chicago, (Dr Carnahan); and Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
- Community Health Sciences Division in the School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Carnahan)
- University of Illinois Cancer Center, Chicago, Illinois (Dr Carnahan)
- Illinois Department of Public Health Office of Women's Health and Family Service, Springfield, Illinois (Mss Jefferies and Curtis)
| |
Collapse
|
3
|
Palomba A, Pelizzo F, Canevari M, Vriz O. Pulmonary edema in a young male with severe uncontrolled cardiovascular risk factors and pan-vascular atherosclerosis: a case report. Monaldi Arch Chest Dis 2024. [PMID: 38497203 DOI: 10.4081/monaldi.2024.2862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 02/20/2024] [Indexed: 03/19/2024] Open
Abstract
Cardiovascular risk factors are the cause of atherosclerotic disease, which can involve all the elastic and muscolo-elastic arteries. The etiopathogenesis of atherosclerosis is multifactorial since genetics, lifestyle, and comorbidities can be simultaneously involved. Clinical manifestations can be heterogeneous and include myocardial infarction, stroke, aortic aneurysms, renal artery stenosis, renal insufficiency, peripheral artery disease, etc. Currently, 70% of clinical events cannot be prevented with available drug therapy, statins included, and at least 10% of coronary events occur in apparently healthy individuals in the absence of major traditional risk factors. The case of a young male with a history of coronary artery disease and multiple atherosclerotic risk factors not properly treated who was admitted to the emergency department for pulmonary edema and high blood pressure is presented. During the diagnostic workup, a dramatic atherosclerotic involvement of all arterial trees emerged. Moreover, the patient presented with thrombosis of the right subclavian artery, which was treated with a heparin infusion and later complicated by cerebral hemorrhage with residual hemiplegia.
Collapse
Affiliation(s)
- Andrea Palomba
- Department of Cardiology, Sant'Antonio Hospital, San Daniele del Friuli.
| | - Francesco Pelizzo
- Department of Radiology, Sant'Antonio Hospital, San Daniele del Friuli.
| | - Mattia Canevari
- Department of Cardiology, Sant'Antonio Hospital, San Daniele del Friuli.
| | - Olga Vriz
- Department of Cardiology, Sant'Antonio Hospital, San Daniele del Friuli.
| |
Collapse
|
4
|
Stuenkel CA. Reproductive milestones across the lifespan and cardiovascular disease risk in women. Climacteric 2024; 27:5-15. [PMID: 37769699 DOI: 10.1080/13697137.2023.2259793] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 09/12/2023] [Indexed: 10/03/2023]
Abstract
Cardiovascular disease (CVD) is the leading cause of death for women across the developed and developing world. Beyond traditional cardiovascular risk factors, a number of reproductive milestones have been recognized. The goal of this White Paper, issued by the International Menopause Society in conjunction with World Menopause Day 2023, is to highlight female reproductive milestones in terms of potential cardiovascular risk and to review recommendations for minimizing that risk. The primary milestones discussed relate to menstrual cyclicity, adverse pregnancy outcomes, breast cancer treatments and menopause. Each of these categories has a number of permutations that have been shown in observational studies to be associated with increased cardiovascular risks. In current clinical care, recognition of these reproductive milestones has been encouraged so patients can be informed and motivated to engage in primary prevention of CVD early in their life course rather than retrospectively later in life. Options for specifically targeted care with specialist teams are designed to enhance success with risk identification, screening and possible detection of CVD and, optimally, primary or secondary prevention of CVD. Promoting cardiovascular health of women has far-reaching effects for themselves, their families and their progeny. It is time to make women's cardiovascular health a priority.
Collapse
Affiliation(s)
- C A Stuenkel
- Department of Medicine, Division of Endocrinology and Metabolism, UC San Diego School of Medicine, La Jolla, CA, USA
| |
Collapse
|
5
|
Prem PN, Kurian GA. Cardiac damage following renal ischemia reperfusion injury increased with excessive consumption of high fat diet but enhanced the cardiac resistance to reperfusion stress in rat. Heliyon 2023; 9:e22273. [PMID: 38053866 PMCID: PMC10694322 DOI: 10.1016/j.heliyon.2023.e22273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 11/04/2023] [Accepted: 11/08/2023] [Indexed: 12/07/2023] Open
Abstract
Renal ischemia-reperfusion (IR) injury inflicts remote cardiac dysfunction. Studies on rats fed with a high-fat diet (HD) showed contradictory results: some demonstrated increased sensitivity of the heart and kidney to IR injury, while others reported resistance. In this study, we examined cardiac dysfunction and compromised cardiac tolerance associated with renal IR in HD and standard diet (SD) fed rats. Male Wistar rats fed with HD or SD diet for 16 weeks were subjected to either renal sham or IR protocol (bilateral clamping for 45 min and reperfusion for 24 h). The hearts isolated from these rats were further subjected to normal perfusion or IR procedure to study cardiac response. Renal IR surgery negatively affected cardiac function with substantial changes in the cardiac tissues, like mitochondrial dysfunction, elevated oxidative stress, and inflammation. HD-fed rat hearts exhibited hypertrophy at the end of 16 weeks, and the consequential impact on the heart was higher in the animals underwent renal IR surgery than with sham surgery. However, the IR induction in the isolated heart from renal sham or renal IR operation showed significant tissue injury resistance and better physiological recovery in HD-fed rats. However, in SD-fed rats, only hearts from renal IR-operated rats showed resistance to cardiac IR, whereas hearts from renal sham-operated rats were more susceptible to IR damage. The augmented IR resistance in the heart with prior renal surgery was due to preserved mitochondrial bioenergetics function, reduced oxidative stress, and activation of the PI3K/AKT signaling axis.
Collapse
Affiliation(s)
- Priyanka N. Prem
- Vascular Biology Lab. School of Chemical and Biotechnology, SASTRA Deemed University, Tirumalaisamudram, Thanjavur, Tamil Nadu, India
| | - Gino A. Kurian
- Vascular Biology Lab. School of Chemical and Biotechnology, SASTRA Deemed University, Tirumalaisamudram, Thanjavur, Tamil Nadu, India
| |
Collapse
|
6
|
Pevnick JM, Diniz MA, Magoffin D, Ishimori M, Bairey Merz CN. Microvascular Aging and Eicosanoids-Women's Evaluation of Systemic Aging Tenacity ("You are never too old to become younger!") Specialized Center of Research Excellence on Sex Differences Career Enhancement Core: Building the Future. J Womens Health (Larchmt) 2023; 32:883-890. [PMID: 37585514 PMCID: PMC10623456 DOI: 10.1089/jwh.2022.0505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/18/2023] Open
Abstract
The objective of the National Institutes of Health Office of Research in Women's Health (NIH/ORWH) Specialized Center of Research and Career Enhancement (SCORE) program is to expedite the development and application of new knowledge that affect women, to learn more about the etiology of these diseases, and to foster improved approaches to treatment and/or prevention. Each SCORE has a Career Enhancement Core (CEC) that serves to meet the career enhancement needs of translational science in the study of sex differences. The Microvascular Aging and Eicosanoids-Women's Evaluation of Systemic aging Tenacity (MAE-WEST) ("You are never too old to become younger!") Specialized Center of Research Excellence (SCORE) on Sex Differences will study pro- and anti-inflammatory responses and small vessel aging traits. As part of our SCORE CEC, we have advanced several initiatives to embed consideration of sex as a biological variable (SABV) into the infrastructure of our two CEC institutions. Unlike other professions, ongoing physician education through continuing medical education (CME) activities is required and embedded in the practice of medicine. The MAE-WEST SCORE in collaboration with the CSMC Clinical Scholars Program, the Center for Research in Women's Health and Sex-differences and the CSMC CME Office requires SABV and as Diversity, Equity, and Inclusion components in all CSMC CME programs. Clinical practice is also increasingly guided by evidence-based guidelines, with Class I recommendations resulting from clinical trials rather than expert consensus. It is essential that women be included in clinical trials proportionate to the prevalence and burden of disease. The MAE-WEST SCORE has developed our own unique CEC for providing novel educational, networking, funding opportunities, and translation to practice support. The developed best practices have found novel ways to enhance studies of women's health and SABV. We welcome visitors on-site and virtual to share with the broader academic and practicing community.
Collapse
Affiliation(s)
- Joshua M. Pevnick
- Division of General Internal Medicine, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Marcio A. Diniz
- Biostatistics Research Center, Samuel Oschin Comprehensive Cancer Institute, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA
- Department of Biomedical Science, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Denis Magoffin
- Department of Biomedical Science, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Mariko Ishimori
- Division of Rheumatology, Department of Medicine, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - C. Noel Bairey Merz
- Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA
| |
Collapse
|
7
|
Ahuja M. Changing Care in Changing World - Reproductive Marker of Cardiovascular Disease Risk in Women. J Midlife Health 2023; 14:149-151. [PMID: 38312768 PMCID: PMC10836438 DOI: 10.4103/jmh.jmh_248_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 12/14/2023] [Accepted: 12/14/2023] [Indexed: 02/06/2024] Open
Affiliation(s)
- Maninder Ahuja
- Editor in Chief JMH, Faridabad, Haryana, India
- Director, Ahuja Health Care Services, Faridabad, Haryana, India
- President SMLM (Society of Meaningful Life Management), Faridabad, Haryana, India E-mail:
| |
Collapse
|
8
|
Mattioli AV, Moscucci F, Sciomer S, Maffei S, Nasi M, Pinti M, Bucciarelli V, Dei Cas A, Parati G, Ciccone MM, Palmiero P, Maiello M, Pedrinelli R, Pizzi C, Barillà F, Gallina S. Cardiovascular prevention in women: an update by the Italian Society of Cardiology working group on 'Prevention, hypertension and peripheral disease'. J Cardiovasc Med (Hagerstown) 2023; 24:e147-e155. [PMID: 37186565 DOI: 10.2459/jcm.0000000000001423] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
The recent pandemic has substantially changed the approach to the prevention of cardiovascular diseases in women. Women have been significantly impacted by the changes that occurred during the pandemic and the quarantine adopted to prevent the spread of the disease. Changes involved prevention both through the reduction of visits and preventive screening and through social and economic changes. It is necessary to adopt new cardiovascular prevention approaches focused on returning to healthy lifestyles, reducing stress and depression also using modern tools such as telemedicine, mobile phone applications and the web. These tools convey messages in a persuasive way especially in young and adult women. There is less impact of these new tools on older women towards whom it is important to adopt a more traditional approach. This review focuses on the new approach to cardiovascular prevention in women in light of the lifestyle changes recorded during the pandemic and which led to an increase in obesity examines the effects on the cardiovascular system induced by stress and depression and analyses the new high blood pressure guidelines and indications that are specific to women.
Collapse
Affiliation(s)
- Anna Vittoria Mattioli
- Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena
| | - Federica Moscucci
- Department of Clinical and Internal Medicine, Anesthesiology and Cardiovascular Sciences, University of Rome
| | - Susanna Sciomer
- Department of Clinical and Internal Medicine, Anesthesiology and Cardiovascular Sciences, University of Rome
| | | | - Milena Nasi
- Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena
| | - Marcello Pinti
- Department of Life Science, University of Modena and Reggio Emilia, Modena
| | - Valentina Bucciarelli
- Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona 'Umberto I, G. M. Lancisi, G. Salesi', Ancona
| | - Alessandra Dei Cas
- Division of Nutritional and Metabolic Sciences, Azienda Ospedaliero-Universitaria di Parma, University of Parma, Parma
| | - Gianfranco Parati
- Department of Cardiovascular, Neural and Metabolic Sciences, S.Luca Hospital, Istituto Auxologico Italiano, IRCCS, Milan & Department of Medicine and Surgery, University of Milano-Bicocca, Milan
| | - Marco Matteo Ciccone
- Cardiovascular Diseases Section, Department of Emergency and Organ Transplantation (DETO), University 'A. Moro' of Bari, Bari
| | | | - Maria Maiello
- ASL Brindisi, Cardiology Equipe, District of Brindisi, Brindsi
| | - Roberto Pedrinelli
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine-Cardiology Division, University of Pisa, Pisa
| | - Carmine Pizzi
- Cardiology Unit, Cardiac Thoracic and Vascular Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna
| | | | - Sabina Gallina
- Department of Neuroscience, Imaging and Clinical Sciences, University of Chieti-Pescara, Chieti, Italy
| |
Collapse
|