From the margins to the center: Transforming cardiovascular care for women
- PMID: 41403054
- PMCID: PMC12708977
- DOI: 10.1177/17455057251406947
From the margins to the center: Transforming cardiovascular care for women
Abstract
Cardiovascular disease (CVD) remains the leading cause of death among women worldwide, with significant disparities in prevalence, outcomes, and care. Despite these alarming statistics, research on women's heart health remains underfunded and poorly prioritized, due in part to the historic exclusion of women from clinical trials and biomedical research. This editorial will highlight the scope of CVD in women, explore sex- and gender-specific risk factors such as gestational diabetes, early menopause, and psychosocial stress, and underscore barriers to quality care including implicit bias and structural inequities. It also calls for increased representation of women in clinical trials and medical fields. Policy and funding shifts are urgently needed to encourage sex-specific research and equitable healthcare delivery. This editorial concludes with a call to action for inclusive, interdisciplinary research approaches, that centers women and their unique biological realities. Advancing gender-responsive cardiovascular care will require not only scientific innovation but also institutional accountability and societal commitment to health equity.
Keywords: cardiovascular diseases in women; clinical trial representation; health equity; sex- and gender-based medicine.
Conflict of interest statement
Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
References
-
- Cleveland Clinic. Heart disease in women: How your sex assigned at birth impacts your risks and symptoms [cited 11 July 2025], https://my.clevelandclinic.org/health/diseases/17645-women–cardiovascula... (2017).
-
- American Heart Association. The facts about women and heart disease. Goredforwomen.org; [cited 11 July 2025], https://www.goredforwomen.org/en/about-heart-disease-in-women/facts (2025).
-
- Cho L, Vest AR, O’Donoghue ML, et al. Increasing participation of women in cardiovascular trials: JACC council perspectives. J Am Coll Cardiol 2021; 78(7): 737–751. - PubMed
-
- Vervoort D, Wang R, Li G, et al. Addressing the global burden of cardiovascular disease in women: JACC state-of-the-art review. J Am Coll Cardiol 2024; 83(25): 2690–2707. - PubMed
-
- World Health Organization. The top 10 causes of death. Who.int [cited 27 October 2025], https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death (2024).
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous
