Why the study?
CAD remains a leading cause of morbidity and mortality in women globally, with distinct gender-specific risk factors emerging despite historical underrepresentation in cardiovascular research.
What are the most significant risk factors associated with coronary artery disease in women over 40 years of age?
What are the most significant risk factors associated with coronary artery disease in women over 40 years of age?
The study underscores the multifactorial etiology of CAD in women over 40, highlighting a particularly high burden of psychosocial stress, hypertension, and diabetes.
May support psychosocial stress screening in CAD prevention for women over 40; hypothesis-generating for causality and broader applicability.
Background: Coronary artery disease (CAD) remains a leading cause of morbidity and mortality in women globally, particularly post - menopause. Despite historical underrepresentation in cardiovascular research, emerging evidence highlights distinct gender - specific risk factors influencing the onset and progression of CAD in women. Objective: This study aimed to assess the risk factors associated with CAD in women aged 40 years and above, focusing on both traditional and sex - specific contributors, and to raise awareness for early detection and prevention. Methods: A retrospective analytical case - control study was conducted using medical records of 200 women diagnosed with CAD over a ten - year period. Risk factors assessed included diabetes, hypertension, stress, early menopause, smoking, lifestyle, and hereditary predisposition. Statistical analysis was performed to determine associations and odds ratios. Results: The study identified psychosocial stress (94.5%), hypertension (87.5%), and diabetes mellitus (81%) as the most significant risk factors. Early menopause (69%), sedentary lifestyle (70%), and hereditary factors (71%) also showed significant associations. Passive smoking, though present in 54% of participants, was not statistically significant. Conclusion: The findings underscore the multifactorial etiology of CAD in women, with a particularly high burden of psychosocial and metabolic risks. These results advocate for gender - specific screening protocols, preventive strategies, and heightened clinical awareness to reduce cardiovascular morbidity and mortality in women over 40 years of age.
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S. Winkins Santosh (2025) studied this question.
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