In the current issue of Cardiovascular Innovations and Applications; (Special Issue on Women’s Cardiovascular Health, Volume 3, Number 4, 2019, Guest Editor Gladys P. Velarde) pp. 421-434(14); DOI https://doi.org/10.15212/CVIA.2017.0064, Nimeh Najjar, MD, Peter Staiano, MD and Mariam Louis, MD from the University of Florida, Department of Medicine, Jacksonville, FL, USA consider obstructive sleep apnea and cardiovascular disease in women.
The authors review important sex differences in the association of Obstructive Sleep Apnea (OSA); and CVD with some data suggesting women may have different susceptibility to the effects of OSA. The authors stress that although OSA is a common condition, it remains grossly underdiagnosed in women.
Obstructive Sleep Apnea (OSA) is a common chronic disorder that affects 5-10% of the US population; but with a higher prevalence in men compared to women by 2:1 in population studies. By contrast, in patients with cardiovascular disease, its prevalence can exceed 50% depending on the specific disorder surveyed.
Obstructive Sleep Apnea
Although sex differences have been well described for cardiovascular risk factors; existing data regarding the impact of sex on the relationship between OSA and cardiovascular outcomes is controversial. Similarly, while there is strong evidence for increased prevalence of cardiovascular conditions, such as systemic hypertension, atrial fibrillation, as well as heart failure amongst patients suffering from OSA; conflicting evidence exists regarding the incidence and bidirectional relationship between them as well as the impact of treatment of OSA on cardiovascular outcomes.
In this paper, the authors review the associations between OSA and cardiovascular diseases in women. The data on sex differences is limited, due to a number of reasons, including, but not limited to late presentation of OSA in women, difficulties in diagnosing both OSA and cardiovascular diseases in women and still suboptimal inclusion of adequate number of women in clinical trials.
More studies are needed to better delineate sex differences in the clinical presentation as well as the pathophysiology of the associations between OSA and cardiovascular diseases so that we can provide patients with more personalized care. This article forms part of a special issue on Women’s Cardiovascular Health, guest edited by Gladys P. Velarde. Recent decades have witnessed great progress in the treatment of cardiovascular disease (CVD).
Personalized care for patients
Due to improved therapies, preventive strategies and increased public awareness, CVD (stroke, heart failure, ischemic heart disease, peripheral arterial disease and congenital heart disease) mortality has been on the decline over this span of time for both genders. Unfortunately, the decline has been less prominent for women, especially women of color.
Once viewed as a man’s disease, CVD remains the leading cause of mortality for women in the United States and is responsible for a third of all deaths of women worldwide and half of all deaths of women over 50 years of age in developing countries. In the United States, CVD far outpaces all other causes of death, including all forms of cancer combined. The statistics are sobering with about one female death in the United States every 80 seconds from CVD.
That represents close to 400,000 deaths per year according to the more recent statistics. Of these, more than one quarter of a million women will die this year from ischemic heart disease (IHD) which includes obstructive and non-obstructive coronary disease, and about 64% of women who die suddenly of IHD have no prior symptoms.
Heart disease is a major health threat
Despite a significant number of females with known CVD and increased awareness among women of heart disease as their major health threat, a substantial proportion of women (46% as per the most recent American Heart Association survey) remain unaware of their cardiovascular risk and continue to fail to recognize its significance.
This lack of awareness is more profound (over 60% unaware) among women in higher-risk groups, racial and ethnic minorities, and has changed little in decades. Poorly understood sex/gender differences in pathobiologic mechanisms, clinical presentation, management and application of diagnostic and therapeutic and preventive strategies have contributed to this gap. A critically important factor has been the underrepresentation of women in CVD research to date.
Accuracy of specific diagnostic modalities
In fact, only one-third of CVD clinical trials report sex-specific results despite The Food and Drug Administration regulations; but requiring sex stratification data, as well as the National Institute of Health recommendations; so of increased inclusion of women in clinical trials. This makes it difficult for researchers and clinicians to draw accurate conclusions about sex differences in mechanisms of disease; so accuracy of specific diagnostic modalities and risks or benefits of a particular drug; or device for the treatment of women with CVD.
Furthermore, physicians and other healthcare providers continue to underestimate women’s cardiovascular risk; but in part because of utilization of traditional approaches which can lead to over-testing or inappropriate risk assessment; so without accurate differentiating who is truly at risk and inadequate use of preventive therapies for women. The goal of this special edition Cardiovascular Innovations and Applications; hence is to shed some light on specific topics that dominate the spectrum of CVD in women.