» Articles » PMID: 29569360

The Risk of Hypertension and Cardiovascular Disease in Women with Uterine Fibroids

Overview
Date 2018 Mar 24
PMID 29569360
Citations 22
Authors
Affiliations
Soon will be listed here.
Abstract

Women with fibroids have a notably high hypertension risk. However, adjusted data regarding other cardiovascular disease (CVD) risk factors are scarce. In this cross-sectional study, CVD risk factors, hemodynamic parameters, and asymptomatic organ damage were analyzed between women with uterine fibroids and controls in a multi-ethnic population. In total, 104 women with self-reported fibroids and 624 controls were included. Women with fibroids had significantly higher odds to have hypertension (OR 3.4; 95% CI 2.2-5.2), diabetes (1.7; 1.0-2.9), and hypercholesterolemia (1.8; 1.1-3.2). After adjustment for confounders, only the odds ratio for hypertension was significant (1.8; 1.1-3.1). Asymptomatic organ damage occurred significantly more often in women with fibroids (66.7%; 95% CI 55.8%-77.6% vs 42.9%; 38.0-47.8 in controls), especially in the younger age group (respectively 48.5%; 31.1%-65.9% vs 22.1%; 17.0-27.2). In this study, women with fibroids had a remarkably high hypertension risk compared to controls, with more asymptomatic organ damage, in particular young women.

Citing Articles

Genome-wide meta-analysis identifies novel risk loci for uterine fibroids within and across multiple ancestry groups.

Kim J, Williams A, Noh H, Jasper E, Jones S, Jaworski J Nat Commun. 2025; 16(1):2273.

PMID: 40050615 PMC: 11885530. DOI: 10.1038/s41467-025-57483-5.


Causal relationship between uterine fibroids and cardiovascular disease: A two-sample Mendelian randomization study.

Cui J, Zhao Y, She L, Wang T Medicine (Baltimore). 2025; 104(9):e41713.

PMID: 40020116 PMC: 11875593. DOI: 10.1097/MD.0000000000041713.


Impact of Uterine Leiomyomas on Cardiovascular Disease Risk in Young Reproductive-Aged Women: A Nationwide Population-Based Cohort Study.

Park J, Han K, Kim H, Song J, Kim M, Chung Y J Clin Med. 2025; 14(2).

PMID: 39860526 PMC: 11766429. DOI: 10.3390/jcm14020519.


Epidemiological features of uterine fibroid-associated imaging changes in Chinese women of reproductive age: a retrospective study.

Zhang L, Xu F, Huang Y, Xu W, Pu Y, Chen K BMJ Open. 2025; 15(1):e085671.

PMID: 39773792 PMC: 11749307. DOI: 10.1136/bmjopen-2024-085671.


Uterine fibroids show evidence of shared genetic architecture with blood pressure traits.

Akerele A, Piekos J, Kim J, Khankari N, Hellwege J, Edwards T Pac Symp Biocomput. 2024; 30:281-295.

PMID: 39670377 PMC: 11649017.


References
1.
Gkioka E, Msaouel P, Philippou A, Vlaghogiannis N, Vogkou C, Margiolis A . Review: The Role of Insulin-like Growth Factor-1 Signaling Pathways in Uterine Leiomyoma. In Vivo. 2015; 29(6):637-49. View

2.
Karamat F, Oudman I, Ris-Stalpers C, Afink G, Keijser R, Clark J . Resistance artery creatine kinase mRNA and blood pressure in humans. Hypertension. 2013; 63(1):68-73. DOI: 10.1161/HYPERTENSIONAHA.113.01352. View

3.
von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007; 370(9596):1453-7. DOI: 10.1016/S0140-6736(07)61602-X. View

4.
Mosca L, Barrett-Connor E, Wenger N . Sex/gender differences in cardiovascular disease prevention: what a difference a decade makes. Circulation. 2011; 124(19):2145-54. PMC: 3362050. DOI: 10.1161/CIRCULATIONAHA.110.968792. View

5.
Aboyans V, Criqui M, Abraham P, Allison M, Creager M, Diehm C . Measurement and interpretation of the ankle-brachial index: a scientific statement from the American Heart Association. Circulation. 2012; 126(24):2890-909. DOI: 10.1161/CIR.0b013e318276fbcb. View