The polycystic ovary syndrome (PCOS) is the most common endocrinopathy amongst women of reproductive age. PCOS is associated with various cardiovascular risk factors such as obesity, glucose intolerance, dyslipidemia hypertension and the metabolic syndrome. Whether these increased cardiovascular risk factors result in the development of actual cardiovascular disease in later life remains to be established. Women with premature ovarian insufficiency (POI), experience menopause prior to the age of 40 years. Women with POI may exhibit dyslipidemia. A young age at menopause has been previously associated with increased cardiovascular morbidity and mortality.
Cardiovascular risk profile will be assessed in women with PCOS and POI \> 45 years of age, consisting of: fasting serum and urine analyses blood pressure, length, weight, waist circumference, hip circumference ECG carotid intima media thickness cardiac ultrasound spare serum, plasma and urine will be stored in -80 degrees celsius biobank.
Study Type
OBSERVATIONAL
Enrollment
125
cardiovascular screening: serum, urine, ECG, carotid intima media thickness (IMT), cardiac ultrasound
University Medical Center Utrecht
Utrecht, Netherlands
carotid intima media thickness
ultrasound measurement of thickness of carotid wall (mean IMT), presence of atherosclerotic plaques (yes/no, location)
Time frame: 10 years post diagnosis
dyslipidemia
serum measurement of low density lipoprotein cholesterol, triglycerides, total cholesterol, high density lipoprotein cholesterol
Time frame: 10 years post diagnosis
insulin and glucose levels
Time frame: 10 years post diagnosis
C-reactive protein
Time frame: 10 years post diagnosis
homocysteine
Time frame: 10 years post diagnosis
uric acid
Time frame: 10 years post diagnosis
androgen levels
Time frame: 10 years post diagnosis
electrocardiogram (ECG)
documentation of heart rythm, potential signs of ischemia (ST segment), length PR, QRS, QT, RR interval
Time frame: 10 years post diagnosis
cardiac ultrasound (hypertrophy)
measurement of left ventricular ejection fraction and left ventricular mass,
Time frame: 10 years post diagnosis
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