Hypertension in Women: Special Therapeutic Approaches
Objective of the Review: To discuss the specific characteristics of hypertension and therapeutic approaches to this condition in female patients. Key Points: In women, the cardiovascular system has a number of specific structural and functional characteristics. Cardiovascular diseases (CVD) in this patient population are also characterized by certain features. This specificity depends on a woman's age and reproductive status. Although there are some common principles of antihypertensive therapy for both males and females, there are a number of differences. On the one hand, women more often experience side effects from certain drugs, and on the other hand, there are specific indications for diuretics in women. Conclusion: An understanding of the mechanisms underlying endocrine disturbances and careful attention to the critical periods characterized by such disturbances allow doctors to effectively prevent hypertension and CVD in women and to choose a pathogenesis-based treatment for those who have developed hypertension.