According to official statistical data there is a significant difference be
tween pre-menopausal women and age-matched men in morbidity and mortality f
rom cardiac diseases and especially from myocardial infarction. There are s
everal speculations regarding the nature of this phenomenon which have both
supporting and refuting evidence.
Our hypothesis was that due to regular physiologic bleeding, rheological pr
operties of blood of pre-menopausal women are superior to those of men, and
place such women at a lower risk of cardiovascular diseases than men in an
y age group. We believe that this difference in hemorheological properties
is due to the reduced concentration of red blood cells (RBCs) and due to gr
eater population of younger and less population of older RBCs in female blo
od. We studied mechanical properties of blood from 47 pre-menopausal women
and 50 age-matched men. Compared to female blood, male blood had higher vis
cosity and RBC aggregation and lower RBC deformability. Oxygen Delivery Ind
ex, calculated as a ratio of hematocrit to blood viscosity, was found to be
significantly lower in male blood. Decreased oxygen delivery along with in
creased RBC aggregation and decreased RBC deformability may contribute to t
he higher risk for the development of cardiovascular diseases. Regular bloo
d donation may reduce hematocrit and blood viscosity, improve rheological p
roperties of blood, and increase oxygen delivery in men.