Silent myocardial ischemia in young women with cardialgia, dyshormonosis, and various comorbidities (cardiac and extracardiac ones)

DOI: https://doi.org/10.29296/25877305-2021-03-11
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Issue: 
3
Year: 
2021

M. Khabibulina, Candidate of Medical Sciences; M. Shamilov Ural State Medical University,
Ministry of Health of Russia, Yekaterinburg

The paper presents the results of Holter ECG monitoring in 126 women with Stages I-II hypertension and noncoronarogenous cardialgia-type cardiac pain syndrome in the late fertile period with different levels of estradiol and follicle-stimulating hormone (FSH) according to the cardiac and extracardiac comorbidities in an outpatient setting. The risk of silent myocardial ischemia (SMI) is higher in hypertensive women with a history of chronic ovarian diseases, medical abortions, bad habits (smoking), and a genetic predisposition to hypertension. SMI occurs in 18.8% of the women with hypertension and cardialgia in the late fertile period with chronic reproductive system diseases, a family gynecologic history, premenstrual syndrome, and, possibly, as a consequence, altered estradiol and FSH levels.
Keywords: 
cardiology
endocrinology
hypertension
silent myocardial ischemia
late fertile period
cardialgia
comorbidity
estradiol

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