{"id":11115,"date":"2016-04-01T08:00:31","date_gmt":"2016-04-01T13:00:31","guid":{"rendered":"http:\/\/www.paristn.net\/articles\/?p=11115"},"modified":"2016-03-31T23:32:23","modified_gmt":"2016-04-01T04:32:23","slug":"women-with-endometriosis-at-higher-risk-for-heart-disease","status":"publish","type":"post","link":"https:\/\/www.paristn.net\/articles\/2016\/04\/01\/women-with-endometriosis-at-higher-risk-for-heart-disease\/","title":{"rendered":"Women with Endometriosis at higher risk for Heart Disease"},"content":{"rendered":"<h2 class=\"lead\">American Heart Association Rapid Access Journal Report<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-56563\" title=\"American Heart Association\" src=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2010\/12\/American-Heart-Association-new-logo-480x230.jpg\" alt=\"American Heart Association\" width=\"240\" height=\"115\" \/><strong>Dallas, TX<\/strong> &#8211; Women with endometriosis \u2013 especially those 40 or younger \u2013 may have a higher risk of heart disease, according to new research published in <em>Circulation:<\/em> <em>Cardiovascular Quality and Outcomes<\/em>, an American Heart Association journal.<\/p>\n<p>The study may be the first prospective investigation to examine the link between <a href=\"http:\/\/www.heart.org\/HEARTORG\/Conditions\/More\/MyHeartandStrokeNews\/Coronary-Artery-Disease---Coronary-Heart-Disease_UCM_436416_Article.jsp#.VtfV1cdEqRs\" title=\"coronary heart disease\"  target=\"_blank\">coronary heart disease<\/a> and endometriosis \u2013 the growth of the tissue that lines the uterus (the endometrium) \u2013 outside the uterus. Researchers reviewed the records of 116,430 women enrolled in the Nurses\u2019 Health Study II. Endometriosis was diagnosed using surgical examinations in 11,903 women by end of follow-up.<\/p>\n<div id=\"attachment_317241\" style=\"width: 490px\" class=\"wp-caption aligncenter\"><a target=\"_blank\" href=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2015\/07\/Heart-illustration.jpg\"  rel=\"attachment wp-att-317241\" class=\"thickbox no_icon\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-317241\" class=\"size-medium wp-image-317241\" title=\"Heart Illustration. (American Heart Association)\" src=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2015\/07\/Heart-illustration-480x234.jpg\" alt=\"Heart Illustration. (American Heart Association)\" width=\"480\" height=\"234\" \/><\/a><p id=\"caption-attachment-317241\" class=\"wp-caption-text\">Heart Illustration. (American Heart Association)<\/p><\/div>\n<p><!--more--><\/p>\n<h4>During 20 years of follow-up, researchers found that compared to women without endometriosis, women with the condition were:<\/h4>\n<ul>\n<li>1.35 times more likely to need surgery or stenting to open blocked arteries;<\/li>\n<li>1.52 times more likely to have a heart attack; and<\/li>\n<li>1.91 times more likely to develop angina (chest pain).<\/li>\n<\/ul>\n<p>Moreover, women age 40 or younger with endometriosis were three times as likely to develop heart attack, chest pain or need treatment for blocked arteries, compared to women without endometriosis in the same age group.<\/p>\n<p>\u201cWomen with endometriosis should be aware that they may be at higher risk for heart disease compared to women without endometriosis, and this increased risk may be highest when they are young,\u201d said Fan Mu, Sc.D., the study\u2019s lead author, who was a research assistant at Brigham and Women\u2019s Hospital and Harvard Medical School in Boston, Massachusetts, when the study was conducted.<\/p>\n<p>Researchers noted that surgical treatment of endometriosis \u2013 removal of the uterus or ovaries \u2013 may partly account for the increased risk of heart disease. Surgically-induced menopause prior to natural menopause may increase risk of heart disease and this elevated risk may be more evident at younger ages.<\/p>\n<p>An estimated 6 percent to 10 percent of women of reproductive age have endometriosis, but exact numbers are unknown since it cannot be diagnosed without surgery. Many girls and women do not realize that distressing menstrual cramps and pelvic pain can be due to endometriosis.<\/p>\n<p>[320right]\u201cIt is important for women with endometriosis\u2014 even young women\u2014to adopt <a target=\"_blank\" href=\"http:\/\/www.heart.org\/HEARTORG\/HealthyLiving\/How-to-Change-Bad-Habits-and-Live-a-Heart-Healthy-Lifestyle_UCM_434369_Article.jsp#.VtfWdsdEqRs\" >heart-healthy lifestyle<\/a> habits, be screened by their doctors for heart disease, and be familiar with symptoms because heart disease remains the primary cause of death in women,\u201d said senior study author Stacey A. Missmer, Sc.D., Director of Epidemiologic Research in Reproductive Medicine at Brigham and Women\u2019s Hospital.<\/p>\n<p>The study accounted for oral contraceptive and hormone replacement therapy exposure but could not evaluate details of other hormonal treatments for endometriosis; inclusion of women with endometriosis suspected by clinicians but not confirmed by surgery did not change the results. Despite these limitations, researchers say the large number of patients, length of follow up, and ability to account for many risk factors for heart disease strengthen the findings.<\/p>\n<p>Other co-authors Janet Rich-Edwards, Sc.D.; Eric B. Rimm, Sc.D.; and Donna Spiegelman, Sc.D. There are no author disclosures.<\/p>\n<p>This study was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The Nurses\u2019 Health Study II is supported by the Public Health Service grants from the National Cancer Institute, NIH, U.S. Department of Health and Human Services.<\/p>\n<p><strong>Additional Resources<\/strong><\/p>\n<ul>\n<li>View the <a href=\"http:\/\/circoutcomes.ahajournals.org\/content\/early\/2016\/03\/29\/CIRCOUTCOMES.11\" title=\"manuscript online\"  target=\"_blank\">manuscript online<\/a>.<\/li>\n<li>Follow AHA\/ASA news on Twitter <a href=\"http:\/\/twitter.com\/HeartNews\" title=\"@HeartNews\"  target=\"_blank\">@HeartNews<\/a>.<\/li>\n<li>Follow CircCVQO on Twitter: <a href=\"http:\/\/twitter.com\/circoutcomes\" title=\"@CircOutcomes\"  target=\"_blank\">@CircOutcomes<\/a>.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>American Heart Association Rapid Access Journal Report Dallas, TX &#8211; Women with endometriosis \u2013 especially those 40 or younger \u2013 may have a higher risk of heart disease, according to new research published in Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal. The study may be the first prospective investigation to examine the [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[86],"tags":[2538,2541,4030,10849,2542,218],"class_list":["post-11115","post","type-post","status-publish","format-standard","hentry","category-health","tag-american-heart-association","tag-coronary-heart-disease","tag-dallas-tx","tag-endometriosis","tag-heart-attack","tag-heart-disease"],"_links":{"self":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/11115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/comments?post=11115"}],"version-history":[{"count":1,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/11115\/revisions"}],"predecessor-version":[{"id":11116,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/11115\/revisions\/11116"}],"wp:attachment":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/media?parent=11115"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/categories?post=11115"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/tags?post=11115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}