Cardiovascular risk prediction in women: rethinking traditional approaches through precision medicine

Cardiovascular disease (CVD) remains the leading cause of mortality in women. Estimating cardiovascular risk using prediction models is essential for guiding preventive strategies. Despite progress, conventional risk models still omit critical women-specific factors, limiting their accuracy. Precision medicine, supported by artificial intelligence, provides a framework to integrate these overlooked determinants. This approach may help close existing gaps in cardiovascular risk prediction. Sex-specific biomarkers that contribute to overall cardiovascular risk can be incorporated into risk assessment tools to improve prevention strategies, early detection, and personalized intervention. The integration of imaging-derived variables enhances diagnosis accuracy. Moreover, pharmacokinetic modeling may help optimize therapy and reduce adverse events. Future research should focus on refining risk prediction algorithms that incorporate women-specific cardiovascular risk. Herein, we explore how addressing the burden of CVD in women through precision medicine requires a tailored approach that considers sex-specific risk factors, hormonal influences, biomarkers, and imaging modalities. This review provides a descriptive synthesis of current evidence and highlights existing knowledge gaps and future directions in precision medicine for cardiovascular risk prediction in women.