Особенности факторов риска сердечно-сосудистых заболеваний у женщин и роль половых гормонов
Аннотация
Несмотря на определенные успехи, достигнутые в последние годы, проблема сердечно-сосудистых заболеваний (ССЗ) у женщин остается одним из главных вызовов 21 века, социально-экономическое бремя которой будет возрастать в связи с резким увеличением числа женщин старшего возраста. В последние годы кардиологи все больше внимания стали уделять менопаузе, как специфическому фактору риска ССЗ у женщин. Однако определенным осложнениям беременности, преждевременному “выключению” функции яичников, также способствующим повышению риска сердечно-сосудистых событий в последующие годы, не придается должного значения. Несомненно, заместительная гормональная терапия остается терапией первой линии и самым эффективным методом лечения эстрогенного дефицита у молодых женщин и менопаузальных симптомов в постменопаузе; залогом ее эффективности и безопасности являются правильные сроки назначения, низкая доза и подходящая для конкретной пациентки комбинация эстрогенов/прогестинов. Междисциплинарный подход крайне важен для своевременного выявления женщин с повышенным риском, поскольку предоставление им рекомендаций по изменению образа жизни, проведение необходимых диагностических процедур и, в случае необходимости, активное терапевтическое вмешательство будут содействовать сокращению риска ССЗ у этих женщин в последующем.
Об авторах
С. В. Юренева
ФГУ Научный центр акушерства, гинекологии и перинатологии им. В.И. Кулакова Минздравсоцразвития
Россия
Россия
ведущий научный сотрудник
Москва
В. Б. Мычка
Институт клинической кардиологии им. А.Л. Мясникова ФГУ РКНПК Минздравсоцразвития России
Россия
Россия
ведущий научный сотрудник отдела системных гипертензий
Москва
Л. М. Ильина
Ассоциация гинекологов-эндокринологов
Россия
Россия
к.м.н., секретарь
Москва
С. Н. Толстов
МУЗ 1-я Городская клиническая больница им. Ю.Я. Гордеева
Россия
Россия
заведующий кардиологическим отделением
Саратов
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Для цитирования:
Юренева С.В., Мычка В.Б., Ильина Л.М., Толстов С.Н. Особенности факторов риска сердечно-сосудистых заболеваний у женщин и роль половых гормонов. Кардиоваскулярная терапия и профилактика. 2011;10(4):128-135.
For citation:
Yureneva S.V., Mychka V.B., Ilyina L.M., Tolstov S.N. Cardiovascular risk factors in women and the role of sex hormones. Cardiovascular Therapy and Prevention. 2011;10(4):128-135. (In Russ.)
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