Síndrome de ovario poliquístico, el riesgo cardiovascular olvidado
DOI:
https://doi.org/10.18041/2665-427X/ijeph.1.10262Palabras clave:
Obesidad, Riesgo cardiovascular, Síndrome de ovario poliquístico, TratamientoResumen
El síndrome de ovario poliquístico (SOP) es un trastorno muy prevalente en las mujeres en edad fértil. Se acompaña de manifestaciones estéticas como el acné y el hirsutismo, así como algunas implicaciones en el riesgo cardiovascular (RCV), como la obesidad, la resistencia a la insulina, la inflamación y el aumento del estrés oxidativo. Se ha relacionado ampliamente como un factor de RCV independiente, que debe ser diagnosticado y tratado con la misma importancia que otras condiciones, como la hipertensión, la diabetes y la dislipidemia. Dentro del tratamiento, no se cuentan con estudios grandes; sin embargo, un componente importante es el impacto en el peso y las variables metabólicas. Se pueden considerar opciones como el estilo de vida y medidas farmacológicas, como el uso de metformina, empagliflozina, liraglutida y semaglutida, así como intervenciones como la cirugía de control de peso en aquellos pacientes con obesidad significativa y otros factores de RCV. Traemos una visión de este riesgo cardiovascular, muchas veces olvidado, evaluando su epidemiología, factores fisiopatológicos y tratamiento.
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