ABSTRACT
Coronary heart disease (CHD) is a common and serious health problem facing women as
they move beyond the reproductive years. Until recently, many postmenopausal women
and their physicians relied heavily on hormone therapy to prevent cardiovascular disease,
neglecting the well-recognized nonhormonal aspects of cardiovascular health. Simple
lifestyle changes-exercise, diet, weight control, and avoidance of tobacco-can significantly
reduce the chance of heart disease and its major risk factors, which are essentially
the same for men and women. As with men, obesity, hypertension, hyperlipidemia, and
diabetes are the major risk factors for heart disease in women. This review discusses
the epidemiologic studies linking these risk factors to CHD in women, the guidelines
for screening, and a brief overview of treatment recommendations.
KEYWORDS
Coronary heart disease risk factors - obesity - metabolic syndrome in women - lifestyle
- exercise
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Vivian LewisM.D.
OBGYN, University of Rochester School of Medicine and Dentistry
601 Elmwood Avenue, BOX 668
Rochester, NY 14642
Email: vivian_lewis@urmc.rochester.edu