Sex and Gender Differences in Fibromuscular Dysplasia

Fibromuscular dysplasia (FMD) is a non-atherosclerotic, non-inflammatory vascular disease that was once underrecognized and is significantly more prevalent in women than men. Although it most commonly affects the renal and extracranial carotid arteries, FMD can affect any vascular bed. Complications...

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Main Authors: Marianne H Khoury, Sims Hershey, Rebecca M LeLeiko
Format: Article
Language:English
Published: Radcliffe Medical Media 2024-07-01
Series:US Cardiology Review
Online Access:https://www.uscjournal.com/articleindex/usc.2023.03
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author Marianne H Khoury
Sims Hershey
Rebecca M LeLeiko
author_facet Marianne H Khoury
Sims Hershey
Rebecca M LeLeiko
author_sort Marianne H Khoury
collection DOAJ
description Fibromuscular dysplasia (FMD) is a non-atherosclerotic, non-inflammatory vascular disease that was once underrecognized and is significantly more prevalent in women than men. Although it most commonly affects the renal and extracranial carotid arteries, FMD can affect any vascular bed. Complications of FMD can include hypertension, dissection, and stroke. Presentation may vary between the sexes, with male patients having an increased frequency of arterial dissection and aneurysms compared with female patients. Diagnosis requires a high index of suspicion by the treating physician. Several imaging studies can assist with diagnosis, and treatment focuses on the monitoring of affected vessels and intervention only as needed. Antiplatelet therapy for prevention of thrombotic complications is recommended. Studies are still underway to examine the genetic underpinnings of FMD pathophysiology and to evaluate the underlying mechanism of this disease that affects more female than male patients.
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series US Cardiology Review
spelling doaj-art-627a5da465f340ec8cce3f7f2117cf672025-08-20T02:39:18ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2024-07-011810.15420/usc.2023.03Sex and Gender Differences in Fibromuscular DysplasiaMarianne H Khoury0Sims Hershey1Rebecca M LeLeiko2Department of Medicine, Emory University School of Medicine, Atlanta, GADepartment of Medicine, Vanderbilt University Medical Center, Nashville, TNDivision of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GAFibromuscular dysplasia (FMD) is a non-atherosclerotic, non-inflammatory vascular disease that was once underrecognized and is significantly more prevalent in women than men. Although it most commonly affects the renal and extracranial carotid arteries, FMD can affect any vascular bed. Complications of FMD can include hypertension, dissection, and stroke. Presentation may vary between the sexes, with male patients having an increased frequency of arterial dissection and aneurysms compared with female patients. Diagnosis requires a high index of suspicion by the treating physician. Several imaging studies can assist with diagnosis, and treatment focuses on the monitoring of affected vessels and intervention only as needed. Antiplatelet therapy for prevention of thrombotic complications is recommended. Studies are still underway to examine the genetic underpinnings of FMD pathophysiology and to evaluate the underlying mechanism of this disease that affects more female than male patients.https://www.uscjournal.com/articleindex/usc.2023.03
spellingShingle Marianne H Khoury
Sims Hershey
Rebecca M LeLeiko
Sex and Gender Differences in Fibromuscular Dysplasia
US Cardiology Review
title Sex and Gender Differences in Fibromuscular Dysplasia
title_full Sex and Gender Differences in Fibromuscular Dysplasia
title_fullStr Sex and Gender Differences in Fibromuscular Dysplasia
title_full_unstemmed Sex and Gender Differences in Fibromuscular Dysplasia
title_short Sex and Gender Differences in Fibromuscular Dysplasia
title_sort sex and gender differences in fibromuscular dysplasia
url https://www.uscjournal.com/articleindex/usc.2023.03
work_keys_str_mv AT mariannehkhoury sexandgenderdifferencesinfibromusculardysplasia
AT simshershey sexandgenderdifferencesinfibromusculardysplasia
AT rebeccamleleiko sexandgenderdifferencesinfibromusculardysplasia