2022
DOI: 10.3390/jcdd9030090
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Sex-Related Effects on Cardiac Development and Disease

Abstract: Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality. Interestingly, male and female patients with CVD exhibit distinct epidemiological and pathophysiological characteristics, implying a potentially important role for primary and secondary sex determination factors in heart development, aging, disease and therapeutic responses. Here, we provide a concise review of the field and discuss current gaps in knowledge as a step towards elucidating the “sex determination–heart axis”. We speci… Show more

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Cited by 10 publications
(6 citation statements)
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References 149 publications
(193 reference statements)
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“…Furthermore, using logistic regression models we show a significant association between the history of cardiac problems and the occurrence of iPD. With males being at a greater risk for CVD [ 27 ], our investigation further reveals that males with CVD history are exposed to a greater risk of iPD development than females with CVD history. The autonomic nervous system is mainly involved in controlling the heart rate.…”
Section: Discussionmentioning
confidence: 85%
“…Furthermore, using logistic regression models we show a significant association between the history of cardiac problems and the occurrence of iPD. With males being at a greater risk for CVD [ 27 ], our investigation further reveals that males with CVD history are exposed to a greater risk of iPD development than females with CVD history. The autonomic nervous system is mainly involved in controlling the heart rate.…”
Section: Discussionmentioning
confidence: 85%
“…In various diseases, including CVD, there are fundamental differences between the sexes in manifestation and outcome, as well as the response to treatment [ 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 ]. Overall, sex differences are generally attributed to genetic and epigenetic mechanisms, regulating major biological processes, including cell death, extracellular matrix deposition and inflammation, as well as sex hormones and their receptors [ 77 , 82 , 83 , 86 , 87 , 88 , 89 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 ,…”
Section: Effects Of Biological Sexmentioning
confidence: 99%
“…Cardiovascular diseases (CVD) are one of the leading causes of death globally [1]. Notably, there are pronounced sex differences in the development and outcome of CVD, as well as the response to pharmacological therapies [2][3][4][5][6][7][8][9]. Genetic and epigenetic mechanisms, fibrotic, inflammatory and metabolic processes, as well as sex steroid hormones and their receptors are expected to account for sex-biased CVD development and outcome [8,[10][11][12][13][14][15][16][17].…”
Section: Introductionmentioning
confidence: 99%