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vitalfork.com > Blog > Health & Wellness > Men and women on kidney dialysis face unique cardiovascular risks: Study
Men and women on kidney dialysis face unique cardiovascular risks: Study
Health & Wellness

Men and women on kidney dialysis face unique cardiovascular risks: Study

VitalFork
Last updated: November 8, 2024 6:30 pm
VitalFork
Published November 8, 2024
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Men and women on kidney dialysis face unique cardiovascular risks: Study

A new study highlights that women going on dialysis for kidney failure have a higher risk of heart failure and stroke than men, yet have a lower overall mortality rate. The findings demonstrate the need for gender-specific cardiovascular care in dialysis patients to address the unique risks faced by women.
Men and women on kidney dialysis face unique cardiovascular risks: Study

Men and women on kidney dialysis face unique cardiovascular risks: study (Image credit: iStock)

A recent study showed that women are going through dialysis Men face greater heart health risks than men for kidney failure. While its incidence is higher in women who are on dialysis. heart failure The overall risk of death is lower than that of their male counterparts, according to researchers led by Dr. Sylvie Shah, associate professor of nephrology and hypertension at the University of Cincinnati College of Medicine.
The study findings suggest the need for a gender-specific approach to cardiovascular care for patients on dialysis. “Women should be treated differently when it comes to heart health,” Dr. Shah stressed in a university news release. “These disparities in heart health highlight the importance of individualized care for women.”
The study tracked more than 508,000 Americans kidney disease Patients who started dialysis between 2005 and 2014. It found that women had a 14 percent higher risk of developing cardiovascular complications than men, including a 16 percent greater chance of heart attack and a 31 percent greater chance of stroke. Dr Shah said this is the first time such a significant difference in cardiovascular events has been recorded between women and men on dialysis.
One possible explanation for the increased risk in women lies in the role of estrogen, a female hormone that has protective cardiovascular effects. In women who are on dialysis, estrogen levels usually decline rapidly, as many women enter menopause years earlier than women without kidney problems. “This hormonal change can make women more susceptible to heart problems,” Dr. Shah said.
The study also points to wide disparities in kidney care between men and women. Women often receive less preventive kidney care, which may contribute to the need for dialysis. Once they are on dialysis, they begin treatment later, undergo fewer hours of dialysis, and have higher rates of diabetes. Additionally, women who suffer a stroke are less likely than men to receive adequate post-stroke care, which may increase their risk of recurring health complications.
Despite these challenges, the study found that women on dialysis had an 11 percent lower risk of death from cardiovascular causes and a 4 percent lower risk of death from any cause compared with men. The reasons behind this better survival rate in women are not clear, raising questions in the minds of researchers. “We don’t know the real cause,” Dr. Shah said.
The study, recently published in the Journal of the American Heart Association, calls for more tailored health care strategies for women with kidney failure on dialysis to address their unique cardiovascular risks and improve outcomes.
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