The development of the “Young Women and Their Health” database and the establishment of medical and psychological monitoring at the primary healthcare level provide opportunities to identify the specific characteristics of physical workload among middle-aged women, as well as to determine the relationship between the prevalence of cardiovascular diseases and hypertension occurring against the background of atherosclerosis. Even minor lifestyle modifications can slow cardiac aging. It is never too late to adopt a healthy lifestyle. After the onset of cardiovascular disease symptoms, risk factors continue to contribute to disease progression and worsen the prognosis; therefore, their management must be an essential component of treatment strategies.

ischemic heart disease, arterial hypertension, women, risk factors, lifestyle.

Alekseeva I.A., Tyurina A.V., Ezhov M.V. Vasospastic angina in a patient with previous myocardial infarction without obstructive coronary artery lesions (“MINOCA”). Cardiology Bulletin. 2019;14(1):67–74.

Alyavi A.L., Alyavi B.A., Kenjaev M.L., Kenjaev S.R. Prevention of left ventricular systolic dysfunction in patients with ST-segment elevation acute coronary syndrome undergoing myocardial revascularization. Rational Pharmacotherapy in Cardiology. 2009;5(4):33–38.

ESC Guidelines for the management of ST-segment elevation myocardial infarction, 2017. Russian Journal of Cardiology. 2018;(5):103–158.

Sulimov V.F. Thrombolysis or primary percutaneous coronary intervention in ST-segment elevation myocardial infarction? The STREAM study (Strategic Reperfusion Early After Myocardial Infarction). Rational Pharmacotherapy in Cardiology. 2013;9(6):640–649.

Syrkin A.L. Myocardial Infarction. Moscow; 2006:110.

Jones R.H., Velazquez E.J., Michler R.E., Sopko G., Oh J.K., O’Connor C.M., Hill J.A., Menicanti L., Sadowski Z., Desvigne-Nickens P., Rouleau J.L., Lee K.L., STICH Hypothesis 2 Investigators. Coronary bypass surgery with or without surgical ventricular reconstruction. New England Journal of Medicine. 2009;360:1705–1717.

Kenjaev S.R., Alyavy A.L., Kenjaev M.L., Rakhimova R.A., et al. Prognostication of left ventricular maladaptive remodeling in ST-segment elevation myocardial infarction. American Journal of Medicine and Medical Sciences. 2017;7(5):216–220. doi:10.5923/j.ajmms.20170705.02.

Ponikowski P., Voors A.A., Anker S.D., Bueno H., Cleland J.G., Coats A.J., et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal. 2016;37:2129–2200.

Schiele F., Gale C.P., Bonnefoy E., Capuano F., Claeys M.J., et al. Quality indicators for acute myocardial infarction: A position paper of the Acute Cardiovascular Care Association. European Heart Journal: Acute Cardiovascular Care. 2017;6:34–59.

Sutton N.R., Li S., Thomas L., Wang T.Y., de Lemos J.A., Enriquez J.R., Shah R.U., Fonarow G.C. Association of left ventricular ejection fraction with clinical outcomes after myocardial infarction: Results from the ACTION Registry–GWTG Medicare-linked database. American Heart Journal. 2016;178:65–73.

Weinsaft J.W., Kim J., Medicherla C.B., Ma C.L., Codella N.C., Kukar N., Alaref S., Kim R.J., Devereux R.B. Echocardiographic algorithm for post-myocardial infarction left ventricular thrombus: A gatekeeper for delayed enhancement CMR. JACC: Cardiovascular Imaging. 2016;9:505–515.

Rakhmatova D.B. Analysis of risk factors for coronary heart disease in persons over 60 years old among the population of Bukhara city. Asian Studies. India. 2019;1:33–38.

Rakhmatova D.B. “Main” symptoms and leading clinical variants of acute coronary syndrome in women. Asian Journal of Multidimensional Research (AJMR). 2019;8(11):69–74