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Large Swedish Study Finds Premenstrual Disorders Elevate Heart Disease Risk

Elevated risk persisted after accounting for traditional cardiovascular factors

Overview

  • The Karolinska Institutet study followed more than 99,000 women with clinically diagnosed PMS or PMDD for up to 22 years using both population and sister-pair comparisons to control for genetic and environmental factors.
  • Women with premenstrual disorders experienced about a 10% higher overall risk of developing cardiovascular disease compared to those without these diagnoses.
  • Specific analyses revealed a 31% increased risk of arrhythmias and a 27% higher likelihood of blood-clot stroke among affected women.
  • Risk elevations were most pronounced in women diagnosed before age 25 and in those who had also experienced postnatal depression.
  • Researchers highlighted inflammation, hormonal regulation disruptions and metabolic abnormalities as potential mechanisms and called for greater clinical awareness of reproductive risk factors.