Polycystic Ovarian Syndrome: a Risk Factor for Cardiovascular Disease.

IF 5.7 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE Current Atherosclerosis Reports Pub Date : 2023-12-01 Epub Date: 2023-12-04 DOI:10.1007/s11883-023-01168-1
Yulith Roca Alvarez, Madison Pico, Namrita Ashokprabhu, Kareem Abou-Amro, Samantha Bailey, Elizabeth Pung, Evan Oberholster, Odayme Quesada
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Abstract

Purpose of review: Characterize the risk of cardiovascular disease (CVD) in individuals with polycystic ovarian syndrome (PCOS). Review the pathophysiological pathways that confers CVD risk in individuals with PCOS and interventions to reduce CVD risk.

Recent findings: PCOS is a complex syndrome characterized by hyperandrogenism, ovulatory dysfunction, and polycystic ovaries that has metabolic and cardiovascular implications. Intrinsic hormonal dysregulation and chronic low-grade inflammation play an important role in the progression of atherosclerosis in young premenopausal individuals and development of CVD independently of associated traditional risk factors. Management with metformin reduces CVD risk by reducing atherosclerosis progression. PCOS is an important CVD risk factor among individuals of reproductive age. Early detection and interventions are needed to mitigate development of CVD.

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多囊卵巢综合征:心血管疾病的危险因素。
综述的目的:表征多囊卵巢综合征(PCOS)患者心血管疾病(CVD)的风险。综述PCOS患者CVD风险的病理生理途径和降低CVD风险的干预措施。最近发现:多囊卵巢综合征是一种复杂的综合征,以高雄激素、排卵功能障碍和多囊卵巢为特征,具有代谢和心血管方面的影响。内在激素失调和慢性低度炎症在年轻绝经前个体动脉粥样硬化的进展和CVD的发展中发挥重要作用,独立于相关的传统危险因素。二甲双胍治疗通过减少动脉粥样硬化进展降低心血管疾病风险。多囊卵巢综合征是育龄人群中重要的心血管疾病危险因素。需要早期发现和干预以减轻心血管疾病的发展。
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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment. We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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