Videos

2 experts are featured in this series.

In this episode, "VMS and Cardiovascular Risk: Mechanisms, Risk Factors, and Prevention," the experts explore the underlying mechanisms that connect vasomotor symptoms to increased cardiovascular risk and discuss how clinicians across specialties can better identify and address that risk. Dr. Erin Michos outlines several proposed pathophysiological pathways linking VMS to cardiovascular disease. Women with more severe VMS tend to present with worse cardiometabolic profiles, including elevated blood pressure, insulin resistance, adverse lipid levels, and metabolic syndrome. VMS are also discussed as potential markers of endothelial dysfunction, evidenced by reduced flow-mediated dilation, as well as autonomic nervous system dysregulation — characterized by increased sympathetic and decreased parasympathetic tone. Additionally, HPA axis dysregulation, reflected in blunted morning cortisol and elevated urinary cortisol, may further explain the cardiovascular association.

2 experts are featured in this series.

Welcome back to another Patient Care Online Peers & Perspectives series. The segment opens with introductions from moderator, Dr. Kristi DeSapri, a board-certified internist with fellowship training in midlife and menopause care, and panelist, Dr. Erin Michos, a cardiologist who directs a women's cardiovascular health and multidisciplinary menopause program. The discussion centers on vasomotor symptoms (VMS) — clinically defined as hot flashes and night sweats — and their broad effects on women's health during the menopausal transition.