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Evaluation of early biomarkers of cardiovascular disease - clinic, inflammatory and ultrasonographic - in postmenopausal women

Abstract

Cardiovascular disease (CVD), especially coronary artery disease (CAD), comprises the main cause of mortality in postmenopausal women. CHD is caused by the atherosclerotic process of progressive evolution, which involves a number of risk factors such as hypercholesterolemia, smoking, hypertension, diabetes, stress, inactivity and obesity, which cannot be ignored in the approach to climacteric women. Through the estimation of risk, we can suggest the establishment of priority measures for primary and secondary prevention, in an attempt to reduce the occurrence of CAD. However, the detection of early markers would allow the recognition of subclinical atherosclerotic disease with early intervention on modifiable risk factors, important in management of post-menopausal women. Atherosclerosis is a disease of the arterial wall, characterized by inflammation and remodeling that can manifest as acute vascular event, becoming clinically apparent. In CAD, conventional risk factors remain important, but individual differences in immune profile may modulate the severity of the atherosclerotic process. The significance of bio-inflammatory markers in women after menopause and the risk of atherosclerosis is an important area of study. Our hypothesis is that the concentration ratio of heat shock protein (hsp) with cytokines and the expression of Toll-like receptors, correlating with the genetic polymorphism of mannose-binding lecitin (MBL) prognosis is the occurrence of CHD sub-clinical ultrasound in postmenopausal menopause. It is expected that the evaluation of early biomarkers - clinical, immuno-inflammatory and ultrasound - of atherosclerotic disease in women after menopause may be to identify patients at cardiovascular risk or with subclinical disease thus proposing preventive measures effective in reducing the occurrence of manifest disease leading cause of mortality in this population, affecting considerably the quality of life in menopause. (AU)

Scientific publications (6)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
PETRI NAHAS, ELIANA AGUIAR. Autophagy-related 16-like 1 gene polymorphism, risk factors for cardiovascular disease and associated carotid intima-media thickness in postmenopausal women. CLINICAL BIOCHEMISTRY, v. 61, p. 12-17, NOV 2018. Web of Science Citations: 0.
TARDIVO, A. P.; NAHAS-NETO, J.; ORSATTI, C. L.; DIAS, F. B.; POLONI, P. F.; SCHMITT, E. B.; NAHAS, E. A. P. Effects of omega-3 on metabolic markers in postmenopausal women with metabolic syndrome. CLIMACTERIC, v. 18, n. 2, p. 290-298, APR 2015. Web of Science Citations: 5.
ORSATTI, CLAUDIO LERA; PETRI NAHAS, ELIANA AGUIAR; NAHAS-NETO, JORGE; ORSATTI, FABIO LERA; GIORGI, VANESSA INNOCENTI; WITKIN, STEVEN S. Evaluation of Toll-Like Receptor 2 and 4 RNA Expression and the Cytokine Profile in Postmenopausal Women with Metabolic Syndrome. PLoS One, v. 9, n. 10 OCT 17 2014. Web of Science Citations: 4.
ORSATTI, CLAUDIO LERA; PETRI NAHAS, ELIANA AGUIAR; NAHAS-NET, JORGE; ORSATTI, FABIO LERA; LINHARES, IARA MORENO; WITKIN, STEVEN SOL. Mannose-binding lectin gene polymorphism and risk factors for cardiovascular disease in postmenopausal women. Molecular Immunology, v. 61, n. 1, p. 23-27, SEP 2014. Web of Science Citations: 5.
PETRI NAHAS, ELIANA AGUIAR; NAHAS-NETO, JORGE; ORSATTI, CLAUDIO LERA; SOBREIRA, MARCONE LIMA; TARDIVO, ANA PAULA; WITKIN, STEVEN SOL. Evaluation of clinical and inflammatory markers of subclinical carotid atherosclerosis in postmenopausal women. MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY, v. 21, n. 9, p. 982-989, SEP 2014. Web of Science Citations: 6.
NAHAS, ELIANA A. P.; NAHAS-NETO, JORGE; ORSATTI, CLAUDIO L.; TARDIVO, ANA PAULA; UEMURA, GILBERTO; PERACOLI, MARIA TEREZINHA S.; WITKIN, STEVEN S. The 60-and 70-kDa heat-shock proteins and their correlation with cardiovascular risk factors in postmenopausal women with metabolic syndrome. CELL STRESS & CHAPERONES, v. 19, n. 4, p. 559-568, JUL 2014. Web of Science Citations: 3.

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