Understanding Women's Cardiac Health In Menopause

The Menopause Mastery Show | Understanding Women's Cardiac Health In Menopause | Episode 272 with John Osborne, MD, PhD, FACC, FNLA

🌱 Welcome to The Menopause Mastery Show! In this episode, Dr. Betty Murray welcomes cardiologist Dr. Peter Osborne to discuss menopause as a major cardiovascular transition, and how women are often misassessed using a male-centered model. They discuss women’s higher rates of missed or atypical heart attack symptoms (fatigue, shortness of breath, nausea) and conditions more common in women such as microvascular disease, Takotsubo (“broken heart”) cardiomyopathy, and SCAD. Osborne criticizes stress tests and frequent unnecessary caths, arguing prevention should start with imaging—at least a calcium score at ~40, and ideally cardiac CT with AI to detect and quantify soft and calcified plaque, track progression, and guide treatment. They cover menopause-related lipid shifts, low HRT use and recent FDA label changes, and key labs including Lp(a) (genetic; estrogen lowers it; Horizon trial with pelacarsen) and ApoB targets for plaque reversal.

🩺 Discover the untold truths about menopause and heart health in this important installment of The Menopause Mastery Show! Join Dr. Betty and Dr. Osborne as they dive into how women's cardiovascular health is more than you think.

To connect with Dr. Osborne:
https://clearcardio.com/

You Tube Channel: @ClearCardio⁩

00:00 Menopause Heart Risk
00:38 Why Women Get Missed
03:47 Heart Attack Symptoms
08:28 Microvascular Disease
12:59 Stress Heart Syndromes
16:15 Estrogen and Vessels
19:41 Lipoprotein A Explained
25:29 ApoB Better Marker
29:37 Why Imaging Matters
36:17 Stress Tests Limitations
40:19 Calcium Score Basics
41:31 Calcium Score Basics
42:10 Soft Plaque Blind Spot
43:55 Cardiac CT Full Picture
45:02 Mammogram Biopsy Analogy
46:03 AI Plaque Tracking
47:45 Egg Plaque Visual
48:58 Start With Imaging
51:36 Women Menopause Risk
52:50 Screening Magic Wand
58:34 Donut Wall Plaque
59:18 Staging And Prevalence
01:02:35 Treatment Tools Repatha
01:05:05 Cholesterol Too Low
01:10:54 Preventive Cardiology Path
01:13:43 Clear Cardio Access
01:15:30 Hypertension Parking Lot
01:17:00 Eliminate Heart Disease
01:18:03 Resources And Farewell

Connect with Dr. Betty Murray:
Betty Murray Website: https://www.bettymurray.com/
Instagram: https://www.instagram.com/drbettymurray/

Like, comment, and subscribe on YouTube: ⁨@drbettymurray⁩

Links:
The Fierce Female Method for Longevity (Dr. Betty's book): https://fierce.hormoneshelp.com/
Menrva Telemedicine: https://gethormonesnow.com/
FREE Hormone Quiz: https://bit.ly/3wNJOec
Living Well Dallas: https://www.livingwelldallas.com/
Hormone Reset: https://hormonereset.net/

More from the Podcast:
Subscribe to #MenopauseMastery → https://www.youtube.com/channel/UCwONPdSvb2-YYY74VhD-XBw
Apple Podcasts → https://podcasts.apple.com/us/podcast/menopause-mastery/id1607369247
Spotify → https://open.spotify.com/show/0tNsjm32CZNXSgSFEwS3uH

Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

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