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Cardiovascular risk in women with diabetes
Authors:A.A. Rivellese  G. Riccardi  O. Vaccaro
Affiliation:1. IRCCS — Istituto di Ricerche Farmacologiche Mario Negri, Laboratory of General Practice Research, Milan, Italy;2. Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Scientific Direction and Emergency Medicine Dept, Milan, Italy;3. IRCCS — Istituto di Ricerche Farmacologiche Mario Negri, Laboratory of Geriatric Neuropsychiatry, Milan, Italy;4. IRCCS — Istituto di Ricerche Farmacologiche Mario Negri, Laboratory for Quality Assessment of Geriatric Therapies and Services, Milan, Italy;5. Stroke Unit, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy;6. Regional Health Ministry, Lombardy Region, Milan, Italy
Abstract:Women with diabetes have a high risk of cardiovascular disease that, almost completely eliminates the gender difference in cardiovascular morbidity and mortality between non-diabetic men and women. In this chapter we have reviewed data showing that cardiovascular risk factors are more common, more likely to cluster, or more severe in diabetic women than men; this may be due to biological or behavioural factors. Disparities in accessibility, quality and, possibly, effectiveness of care further disadvantage diabetic women. Based on available data it can be concluded that a large number of CVD deaths are preventable in diabetic women; therefore special attention should be paid to risk factors detection and correction, as well as timely CHD diagnosis and treatment in diabetic women. To meet these needs gender specific guidelines and implementation measures may be in order.
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