Pulse check: modern strategies for cardiovascular risk in women with detection and prevention in women with HIV

Care requires integration of sex-specific risk enhancers, trauma-informed approaches, and proactive cardiovascular surveillance. Consideration for annual risk assessment incorporating HIV-related immune and metabolic factors, early statin initiation when 10-year risk is ≥5% or enhancers are present, selective advanced imaging in advanced immunosuppression, and use of accessible biomarkers such as the triglyceride-glucose index. Priorities include validation of women-specific prediction tools and closing implementation gaps.