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Why are women less likely to develop cardiovascular diseases?
Women generally have a lower risk than men of cardiovascular diseases and die from them.
A recent study, which also included the University of Gothenburg in Sweden, found that women were less at risk of cardiovascular disease than men. The results of the cohort study were published in the English language journal "The Lancet".
The study had more than 160,000 participants
A total of more than 160,000 men and women in 27 countries around the world were examined for the research work. The current study is the first study to document the differences between women and men in terms of risk factors, treatment, percentage of people affected by myocardial infarction (recurrent myocardial infarction) and stroke. The participants were monitored medically for a period of more than ten years.
Women have a more favorable risk pattern
The results show that women generally had a more favorable risk pattern. Women smoked noticeably less, but also had lower blood pressure and healthier blood fat levels. Compared to men, women in good health and without a history of cardiovascular diseases were more likely to take preventive medication and showed better controlled blood pressure, the researchers report.
Are women treated less intensely?
Concern is often expressed that women with cardiovascular diseases are treated less intensively than men. If this is the case, it could have a negative impact. However, the research group believes that this is rather not the case.
Women rarely need intensive treatment
“Our interpretation is that there doesn't appear to be any discrimination against women. Rather, women have less pronounced changes in the coronary arteries, which means that they do not need to be treated as intensively, ”study author Professor Annika Rosengren from the University of Gothenburg reports in a press release.
Lower risk of renewed infarction in women
The results of the study show that men with myocardial infarction were treated more invasively than women. Even so, women were less at risk of another myocardial infarction, the researchers explain.
More deaths in low-income countries
According to the research group, the main difference in the prognosis after a myocardial infarction is between poor and rich countries. In low-income countries such as Bangladesh, India and Pakistan, around 40 percent of men and women die within 30 days of a myocardial infarction or stroke, while the corresponding share in high-income countries such as Sweden and Canada is less than 10 percent. (as)
Author and source information
This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.
- Marjan Walli-Attaei, Philip Joseph, Annika Rosengren, Clara K Chow, Sumathy Rangarajan et al .: Variations between women and men in risk factors, treatments, cardiovascular disease incidence, and death in 27 high-income, middle-income, and low -income countries (PURE): a prospective cohort study, in The Lancet (Published May 20, 2020), The Lancet
- Women at lower risk for cardiovascular disease than men, University of Gothenburg (Published May 22, 2020), University of Gothenburg