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Join us for an insightful discussion with Dr. Abha Khandelwel, Clinical Associate Professor in Cardiovascular Medicine at Stanford University. We will explore how cardiovascular disease continues to be under-recognized, under-diagnosed and under-treated in women. We will discuss the current trends in cardiovascular mortality, and go in depth on exploring sex-specific risk factors for cardiovascular disease in women. Dr. Khandelwel will review lipoprotein(a) and ApoB testing, discuss how abnormal results may influence management of hyperlipidemia, and how to manage hyperlipidemia during pregnancy, while breastfeeding, and during menopause. We will also discuss diagnosis and management of non-obstructive ischemic heart disease that may more commonly present in women such as microvascular dysfunction and vasospasm. View CE information and claim credit: https://stanford.cloud-cme.com/course... Key moments: 00:00 Introduction to Women’s Health Vodcast series 01:30 Current trends 03:10 Sex specific risk factors 07:40 Environment and socioeconomic factors 09:20 Pregnancy related complications and risk factors 12:00 How to account for sex specific risk factors in primary prevention 13:40 Lipoprotein (a) (Lp[a]) and Apolipoprotein B (Apo B) testing 17:40 Use of statins 19:40 Trending Lp(a) and Apo B over time 20:50 CAC (Coronary Artery Calcium) Scoring 25:25 Is there a correlation between CAC score and level of stenosis? 26:30 Family history and risk assessment 27:30 Statins during pregnancy 28:45 Pregnant women with hyperlipidemia 31:30 Agents of choice for gestational hypertension or hypertension while breastfeeding 32:50 Why do women tend to present later for heart attacks? 35:45 Why do women tend to have more atypical symptoms? 38:10 Primary care next steps when patient presents as non-cardiac/clean angiogram 41:00 Medications for microvascular dysfunction 42:20 Thoughts on women receiving less guideline medications 45:20 Primary care support 48:00 Menopause and cardiovascular risk 50:20 What patients may be too high risk to consider menopausal therapy? 50:55 Closing remarks