Improving Cardiovascular Clinical Competencies for the Menopausal Transition
Year: 2025
Type: article
Abstract: Cardiovascular disease (CVD) is the leading cause of death in women with an increase in risk after menopause. Over the past 20 years, longitudinal studies have helped differentiate the influence of chronological aging from ovarian aging on cardiovascular health. In addition to the pronounced sex hormone changes of the menopause transition (MT), the MT is also often accompanied by vasomotor symptoms, sleep problems, and mental health changes that impact women's cardiovascular health. The purpose of this invited review is to highlight the key changes that can alter CVD risk. Given the gaps in medical training, we also describe the need for specialized postgraduate curriculum in managing the MT with an aim to improve MT screening and management of CVD during this universal life stage. Finally, we propose a multidisciplinary approach led by experts in women's cardiovascular health and present an approach utilizing validated screening tools and CVD risk scores to discuss the candidacy of systemic menopause hormone therapy.
Source: JACC Advances
Institutions: Inova Health System, Inova Fairfax Hospital, Cedars-Sinai Medical Center, Cedars-Sinai Smidt Heart Institute, University of Pittsburgh, Massachusetts General Hospital, Mass General Brigham, Yale University, VA Connecticut Healthcare System, Mayo Clinic, Mayo Clinic in Florida, Northwestern University
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,936
Awards: G114384596, G1515363210, G2026361351, Behavioral Medicine and Cardiovascular Research Training, EVAL OF ISCHEMIC HEART DISEASE IN WOMEN-CLINICAL CTR, G2457797256, G2866317298, EVAL OF ISCHEMIC HEART DISEASE IN WOMEN-CLINICAL CTR, ISCHEMIC HEART DISEASE IN WOMEN-CLINICAL CENTER, UCLA Clinical and Translational Science Institute, G3637194313, The Study of Women's Health Across the Nation (SWAN): The Impact of Midlife and the Menopause Transition on Health and Functioning in Early Old Age, G3751788867, ISCHEMIC HEART DISEASE IN WOMEN--CLINICAL CENTER, Hypertensive Disorders of Pregnancy: Pathways to Future Cardiovascular Disease, G4144345384, G461158050, Interdisciplinary Mentoring and Research in Womens Cardiovascular Health, G5221361821, Magnetic Resonance Imaging for Global Atherosclerosis Risk Assessment, Women's Ischemia Syndrome Evaluation (WISE) Coronary Vascular Dysfunction, G702596446, G7124563012, Hypothalamic Amenorrhea as a Fertility Status Marker for Cardiovascular Health, General Clinical Research Center, G8638816353, Cardiac Autonomic Function in Women, G887727876, MenoBrain: A Longitudinal Investigation of Menopause and Brain Health, HFpEF Susceptibility in Women: The Role of Inflammation, G980253153
OpenAlex ID: W4410485111