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June 17, 2024
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Top in cardiology: Missed periods linked to CVD risk; updated multispecialty guidance

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Young women who consistently missed their period due to intense exercise, disordered eating or stress — a condition known as functional hypothalamic amenorrhea, or FHA — had a greater risk for endothelial dysfunction and CVD, data show.

“Endothelial dysfunction is a signal we have seen in FHA and it is not attributed to just estrogen alone,” Chrisandra L. Shufelt, MD, MS, FACP, MSCP, a professor and chair of the division of internal medicine at Mayo Clinic in Jacksonville, Florida, and associate director of the Center for Women’s Health Research, said during a presentation at the Heart in Diabetes CME Conference. “So, are these women with high cortisol levels at future risk for CVD? We need to work to understand more. Is it over-exercise? Is it disordered eating? Or is it stress?”

Woman Running
Consistently missed periods brought on by intense exercise, disordered eating or stress in young women can lead to multiple consequences, including endothelial dysfunction and increased CVD risk, data show. Image: Adobe Stock

It was the top story in cardiology last week.

In another top story, a task force updated its multispecialty guidance to help non-expert clinicians manage diabetes as well as cardiorenal and metabolic diseases.

Read these and more top stories in cardiology below:

For young women, missed periods from intense stress could signal heart health risk

Consistently missed periods brought on by intense exercise, disordered eating or stress in young women can lead to multiple consequences, including endothelial dysfunction and increased CVD risk, according to a speaker. Read more.

Task force updates multispecialty guidance for diabetes, cardiorenal and metabolic diseases

A task force has issued an updated multispeciality guide to help clinicians manage diabetes, cardiorenal and metabolic diseases. Read more.

Fewer US adults suggested for statin therapy for primary prevention by new risk calculator

Fewer U.S. adults aged 40 to 75 years are eligible for statin therapy for primary CVD prevention in the new PREVENT risk calculator compared with the older Pooled Cohort Equation, researchers reported. Read more.

Two-step screening could prevent heart failure in diabetes with no history of CVD

Early, cost-effective screening may predict and prevent incident heart failure events for patients with diabetes and no prior heart disease, a speaker reported. Read more.

VIDEO: Spotlight on ‘worsening trend’ of heart attack and cardiovascular death in young women

In this Healio video exclusive, Erin D. Michos, MD, MHS, FAHA, FACC, FASE, FASPC, highlights the need for greater prevention of myocardial infarction and cardiovascular death in young women. Watch video.