05/20/2026
📣📣"Reproductive history is now formally part of cardiovascular risk assessment for women." re: 2024 AHA/ASA stroke guidelines & 2026 ACC/AHA dyslipidemia guidelines. This is HUGE! This reflects a shift to individualized and integrated (vs silo'd, specialist-centric) clinical practice. We know more than we did: gynecologic and obstetric history is cardiovascular data! From endometriosis to early menopause, and from pregnancy loss to PCOS (recently renamed to Polyendocrine Metabolic Ovarian Syndrome or PMOS) - all affect or predict cardiovascular risk later in life. Often there is a delay getting guidelines into clinical practice. Practical tips: 1) write down your OB/Gyn history, bring to primary care appts and hand directly to your provider, ladies. 2) *engaged patient* labs/requests: blood pressure, full lipid panel including lipoprotein(a) and apolipoprotein B, fasting glucose and A1c, & weight and waist circumference over time. 💪🏼💫🌱🏃🏻♀️🧘🏻♀️
