Pregnancy not only reveals a woman's future CV risk but can also cause changes at the endothelial level that increase that risk. Cardiologists DrM_ODonoghue and DrRachelMBond discuss the issues. CardioTwitter MedTwitter
, right? We think about pregnancy as a cardiac stress test and we know that the changes that occur during pregnancy, just with stroke volume, cardiac output, heart rate, and blood pressure, for example, all of that could sometimes unmask at the level of the endothelium, underlining conditions and underlining disease.
Do you think that they should be more rigorously followed? Do you advocate earlier initiation of statin therapy? How should doctors think about this?Right now, we are looking for more research that's focused on this area because although our assumption is that we need to be more rigorous, we don't have guidelines.
It's important for primary care clinicians out there to realize that these cardiometabolic screenings are the basic screenings that we should be doing. Guideline suggest that for patients typically starting at the age of 20 years, but even when we are calculating their atherosclerotic cardiovascular risk calculator, standardly 40 years and above.
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