The International Menopausal Society (IMS) has designated October 18th as the "World Menopausal Care Day", aiming to jointly pay attention to and prioritize the health issues of menopausal women and increase awareness of menopause. It is understood that the theme of World Menopausal Care Day in 2023 is cardiovascular disease. Huang Mengqi, the attending gynecologist of Nanjing First Hospital, introduced that the cardiovascular diseases caused by the cardiovascular metabolic risks caused by menopause are increasingly being paid attention to. Aunt Han, a 52 year old resident of Nanjing who only retired from her job two years ago, has gradually developed symptoms such as reduced menstrual flow, hot flashes, and emotional instability since then. She understands that this is the "menopause" that has arrived as promised, and Ms. Han has not taken it seriously in the past two years. At that time, it was a feeling of palpitations. I couldn't catch my breath and felt uncomfortable. I thought it was a heart attack! "Recalling the process of the disease, she still had lingering palpitations. One day in early October, Aunt Han, who had finished her morning exercise with her husband, felt a bit dizzy, chest pain, and difficulty breathing while walking on the road. After resting for half a day, she rushed to Nanjing First Hospital for treatment. After a series of electrocardiogram and blood tests, Aunt Han was diagnosed with stress cardiomyopathy. After treatment, Aunt Han has gradually recovered. Stress cardiomyopathy, also known as "heartbreak syndrome," is mainly targeted at menopausal or postmenopausal women. Huang Mengqi, a gynecologist at Nanjing First Hospital, introduced that the latest relevant research has confirmed that cardiovascular disease is the main cause of death in women. More and more reproductive factors are related to the increased risk of cardiovascular disease in women. "The changes in hormone levels caused by menopause are likely to directly affect heart metabolism." Huang Mengqi explained that after menopause, estrogen, as a "protective umbrella" in women's bodies, its levels rapidly decrease, This leads to an increase in energy intake and a decrease in expenditure, leading to an increase in the incidence of obesity and sarcopenia. In clinical practice, it is not difficult to see that postmenopausal women gain weight, and there are many people who have redistributed fat into abdominal obesity due to menopause. Invisible to the naked eye include an increase in insulin resistance and a deterioration in blood lipid levels in the body, which ultimately lead to poor cardiac metabolism and a high risk of cardiovascular disease. Huang Mengqi introduced that to prevent cardiovascular risks in women, currently recognized prevention strategies include five healthy behaviors, namely reasonable diet, more exercise, smoking cessation, maintaining healthy sleep and weight control, as well as controlling three risk factors including blood lipids, blood sugar, and blood pressure. Huang Mengqi also reminded that a decrease in estrogen levels is also the "culprit" of many menopausal symptoms. Symptoms of vasodilation and contraction, such as hot flashes, sweating, blood pressure fluctuations, palpitations, headaches, etc; Psychoneurological symptoms such as emotional instability, anxiety and depression, sleep disorders, decreased memory, and skin itching. At the same time, there are also some "invisible manifestations", such as back pain and easy fatigue, which should be treated at the menopausal specialized clinic. Reporter: Lv Yanlin (Xinhua News Agency)