Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2002-2-18
pubmed:abstractText
The Healthy Women Study has evaluated risk factor changes as women go through the menopause. In 274 women, measures of atherosclerosis in the coronary, aorta and carotid arteries were obtained at 8 years postmenopause using electron beam tomography and carotid ultrasound. The purpose of this study was to evaluate the association between baseline premenopausal risk factors and subclinical disease in various vascular beds and with an aggregate atherosclerosis index based on all subclinical measures. The prevalence of measurable disease for the coronaries, carotids and aorta was 45, 55 and 72%, respectively. Disease measures across these three locations were significantly correlated (P<0.001). Premenopausal LDL, triglycerides, blood pressure (BP) and smoking were associated with each measure of subclinical atherosclerosis, and were strikingly associated with the number of elevated disease measures. Among 126 women taking hormone replacement therapy (HRT), there was a strong positive association between systolic BP and subclinical atherosclerosis (P<0.001). No such relationship was seen among women not on HRT and this interaction was significant (P=0.048). An index of subclinical atherosclerosis rather than measurement at a single arterial site may be the best estimate of disease risk. Such a measure should be evaluated for its prognostic value along with individual measures of subclinical disease. Women with lower premenopausal risk factors did not develop high levels of subclinical atherosclerosis, suggesting that atherosclerosis is a preventable disease in women.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0021-9150
pubmed:author
pubmed:issnType
Print
pubmed:volume
160
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
407-16
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:11849665-Adult, pubmed-meshheading:11849665-Aortic Diseases, pubmed-meshheading:11849665-Aortography, pubmed-meshheading:11849665-Arteriosclerosis, pubmed-meshheading:11849665-Blood Pressure, pubmed-meshheading:11849665-Calcinosis, pubmed-meshheading:11849665-Carotid Arteries, pubmed-meshheading:11849665-Carotid Artery Diseases, pubmed-meshheading:11849665-Cholesterol, LDL, pubmed-meshheading:11849665-Coronary Angiography, pubmed-meshheading:11849665-Coronary Artery Disease, pubmed-meshheading:11849665-Female, pubmed-meshheading:11849665-Humans, pubmed-meshheading:11849665-Middle Aged, pubmed-meshheading:11849665-Postmenopause, pubmed-meshheading:11849665-Reproducibility of Results, pubmed-meshheading:11849665-Tomography, X-Ray Computed, pubmed-meshheading:11849665-Triglycerides
pubmed:year
2002
pubmed:articleTitle
Subclinical atherosclerosis in multiple vascular beds: an index of atherosclerotic burden evaluated in postmenopausal women.
pubmed:affiliation
Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto Street, Pittsburgh, PA 15261, USA. tyrrell@edc.gsph.pitt.edu
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S.