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Arritmias en personas transgénero

The need to improve access to health services for the transgender community has become evident, especially concerning cardiovascular risk, which is higher compared to the general population. Surgical procedures and hormone therapies are common in this population to affirm gender identity, but they p...

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Detalles Bibliográficos
Autores principales: Berni, Ana C., Wamboldt, Rachel, Baranchuk, Adrián
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Permanyer Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665108/
https://www.ncbi.nlm.nih.gov/pubmed/37992702
http://dx.doi.org/10.24875/ACM.M23000089
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author Berni, Ana C.
Wamboldt, Rachel
Baranchuk, Adrián
author_facet Berni, Ana C.
Wamboldt, Rachel
Baranchuk, Adrián
author_sort Berni, Ana C.
collection PubMed
description The need to improve access to health services for the transgender community has become evident, especially concerning cardiovascular risk, which is higher compared to the general population. Surgical procedures and hormone therapies are common in this population to affirm gender identity, but they pose challenges as they are associated with disruptions in lipid metabolism, body fat concentration, and insulin resistance. Additionally, there is an increased risk of adverse cardiovascular events such as venous thromboembolism, stroke, and myocardial infarction. The influence of sex hormones on the electrophysiological properties of the heart has been studied, highlighting gender differences that may predispose the transgender population to cardiac arrhythmias. Exogenous hormone therapy, for both transgender women and men, can affect the QT interval and increase the risk of arrhythmias, including atrial fibrillation. Although the incidence of arrhythmias in the transgender population is not entirely clear, evidence suggests the need for careful cardiovascular monitoring and consideration of risk factors before initiating hormone therapies.
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spelling pubmed-106651082023-10-25 Arritmias en personas transgénero Berni, Ana C. Wamboldt, Rachel Baranchuk, Adrián Arch Cardiol Mex Artículo Especial The need to improve access to health services for the transgender community has become evident, especially concerning cardiovascular risk, which is higher compared to the general population. Surgical procedures and hormone therapies are common in this population to affirm gender identity, but they pose challenges as they are associated with disruptions in lipid metabolism, body fat concentration, and insulin resistance. Additionally, there is an increased risk of adverse cardiovascular events such as venous thromboembolism, stroke, and myocardial infarction. The influence of sex hormones on the electrophysiological properties of the heart has been studied, highlighting gender differences that may predispose the transgender population to cardiac arrhythmias. Exogenous hormone therapy, for both transgender women and men, can affect the QT interval and increase the risk of arrhythmias, including atrial fibrillation. Although the incidence of arrhythmias in the transgender population is not entirely clear, evidence suggests the need for careful cardiovascular monitoring and consideration of risk factors before initiating hormone therapies. Permanyer Publications 2023 2023-10-25 /pmc/articles/PMC10665108/ /pubmed/37992702 http://dx.doi.org/10.24875/ACM.M23000089 Text en Copyright: © 2023 Permanyer https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Artículo Especial
Berni, Ana C.
Wamboldt, Rachel
Baranchuk, Adrián
Arritmias en personas transgénero
title Arritmias en personas transgénero
title_full Arritmias en personas transgénero
title_fullStr Arritmias en personas transgénero
title_full_unstemmed Arritmias en personas transgénero
title_short Arritmias en personas transgénero
title_sort arritmias en personas transgénero
topic Artículo Especial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665108/
https://www.ncbi.nlm.nih.gov/pubmed/37992702
http://dx.doi.org/10.24875/ACM.M23000089
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