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Gynecological Disorders Can Increase Risk for Cardiovascular, Cerebrovascular Disease

By Elana Gotkine HealthDay Reporter

Medically reviewed by Carmen Pope, BPharm. Last updated on Feb 28, 2025.

via HealthDay

FRIDAY, Feb. 28, 2025 -- Nonmalignant gynecological diseases (NMGD) are associated with cardiovascular and/or cerebrovascular disease (C/CVD), according to a systematic review and meta-analysis published online Feb. 24 in Heart.

Giorgia Elisabeth Colombo, M.B., Ch.B., from the Ospedale Regionale di Lugano in Switzerland, and colleagues conducted a systematic literature review to examine the association between NMGD and C/CVD. A combination of ischemic heart disease, cerebrovascular disease, heart failure, and peripheral vascular disease defined the composite C/CVD outcome.

The analysis included 28 studies, with 3,271,242 participants. The researchers found that 53.3 percent of the studies had a serious/critical risk for bias. Overall, individuals with NMGD had a significantly elevated risk for composite C/CVD (summary relative risk [SRR], 1.28; I2 = 65.3 percent), ischemic heart disease (SRR, 1.41; I2 = 73.7 percent), and cerebrovascular disease (SRR, 1.33; I2 = 91.5 percent). Those with a history of endometriosis or polycystic ovary syndrome had a greater risk for C/CVD and its components in NMGD-specific analyses.

"Physicians should be aware of the potential association between NMGD and C/CVD and use this to inform clinical practice in order to mitigate the risk of C/CVD," the authors write. "Our findings reinforce the need for prospective longitudinal life course research evaluating risk of C/CVD outcomes in NMGD overall and in subgroup populations, which may catalyze primary prevention strategies."

Several authors disclosed ties to the pharmaceutical industry.

Abstract/Full Text

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

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