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Coronary Artery Disease and Polycystic Ovaries
Title:Association between polycystic ovaries and extent of coronary artery disease in women having cardiac catheterization
Author:M.A. Birdsall et al.
Address:Auckland, New Zealand
Source:Annals of Internal Medicine 126: 32-35 (January) 1997
Summary:A referral base of 143 women who were 60 years of age or under underwent coronary quantitative angiography to evaluation of coronary heart disease. All women had a history of chest pain or valvular disease. Pelvic ultrasonography was used to assess the ovaries. Women without ovaries were excluded from the study. A blinded comparison was made in the diagnostic imaging studies. The authors found polycystic ovaries in 42% of the women undergoing angiography. It was noted that the women with polycystic ovaries were associated with more extreme coronary artery disease than the women with normal ovaries.
Comment:Polycystic ovaries are a common ultrasound finding. It is still not known exactly how this relates to polycystic ovarian syndrome, but there is an obvious association. Many more women have PCO appearing ovaries than the full spectrum of the syndrome. Many of the women are perfectly fertile and/or have little excess hair. The consequences of the ultrasound findings are only beginning to be investigated. It is to be expected that Women with polycystic ovaries are faced with a male-like predisposition toward cardiovascular disease and its associated risks. Obviously an early identification could lead to earlier intervention and perhaps reduce the personal and health costs of this major health issue and cause of morbidity and mortality.

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