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Transgender people have unaddressed heart disease risks

Presented By
Dr Kara Denby, Cleveland Clinic, USA
AHA 2020

A retrospective study of transgender people using gender-affirming hormone therapy (GAHT) found excessive undiagnosed hypertension and hyperlipidaemia, suggesting that these individuals should be monitored for heart disease risk [1].

Dr Kara Denby (Cleveland Clinic, USA) presented the study aiming to identify the baseline cardiovascular risk of transgender individuals presenting for gender-affirming care from a multidisciplinary transgender programme. Transgender people were included if they had not yet initiated GAHT. Collected data included demographics, medical history, vitals, medications, and laboratory results. The ACC/AHA ASCVD and QRISK3 CV risk scores were calculated for all participants without documented CV disease.

Included were 427 participants. Their mean age was 26 years, mean BMI was 29.3 kg/m2. Sex assigned at birth was 238 (55.6%) male, 186 (43.5%) female, and 4 (0.9%) intersex. Gender was 172 (40.2%) men, 236 (55.1%) wo...

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