Multidisciplinary management of cardiovascular disease in women: Delphi consensus
BackgroundCurrent clinical guidelines on cardiovascular disease (CVD) do not specifically address the female population. The aim of this consensus is to know the opinion of a group of experts on the management of CVD in women.MethodsThrough a Delphi consensus, 31 experts in cardiology, 9 in gynecolo...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-02-01
|
| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/full |
| _version_ | 1827346237773316096 |
|---|---|
| author | José M. Gámez José M. Gámez Milagros Pedreira Pérez María Rosa Fernández Olmo María Fasero Laiz María Fasero Laiz María Fasero Laiz Verónica Inaraja Vicente Pallarés Carratalá Vicente Pallarés Carratalá |
| author_facet | José M. Gámez José M. Gámez Milagros Pedreira Pérez María Rosa Fernández Olmo María Fasero Laiz María Fasero Laiz María Fasero Laiz Verónica Inaraja Vicente Pallarés Carratalá Vicente Pallarés Carratalá |
| author_sort | José M. Gámez |
| collection | DOAJ |
| description | BackgroundCurrent clinical guidelines on cardiovascular disease (CVD) do not specifically address the female population. The aim of this consensus is to know the opinion of a group of experts on the management of CVD in women.MethodsThrough a Delphi consensus, 31 experts in cardiology, 9 in gynecology and obstetrics, and 14 primary care physicians, showed their degree of agreement on 44 items on CVD in women divided into the following groups: (1) risk factors and prevention strategies; (2) diagnosis and clinical manifestations; and (3) treatment and follow-up.ResultsAfter two rounds, consensus in agreement was reached on 27 items (61.4%). Most of the non-consensus items (31.8%) belonged to group 3. The lack of consensus in this group was mainly among gynecologists and primary care physicians. The panelists agreed on periodic blood pressure control during pregnancy and delivery to detect hypertensive disorders, especially in women with a history of preeclampsia and/or gestational hypertension, and diabetes mellitus control in those with gestational diabetes. Also, the panelists agreed that women receive statins at a lower intensity than men, although there was no consensus as to whether the efficacy of drug treatments differs between women and men.ConclusionsThe high degree of consensus shows that the panelists are aware of the differences that exist between men and women in the management of CVD and the need to propose interventions to reduce this inequality. The low level of consensus reveals the lack of knowledge, and the need for information and training on this topic. |
| first_indexed | 2024-03-07T23:25:14Z |
| format | Article |
| id | doaj.art-e1083eab57de4d208b573747dd5574d2 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-07T23:25:14Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-e1083eab57de4d208b573747dd5574d22024-02-21T04:54:19ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.13155031315503Multidisciplinary management of cardiovascular disease in women: Delphi consensusJosé M. Gámez0José M. Gámez1Milagros Pedreira Pérez2María Rosa Fernández Olmo3María Fasero Laiz4María Fasero Laiz5María Fasero Laiz6Verónica Inaraja7Vicente Pallarés Carratalá8Vicente Pallarés Carratalá9Servicio de Cardiología, Hospital Universitario Son Llatzer, Departamento de Medicina, Universidad de las Islas Baleares, Palma de Mallorca, SpainCIBER de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN CB12/03/30038), Instituto de Salud Carlos III, Madrid, SpainCoordinadora de la Unidad de Cardio-Oncología y de la Unidad de Enfermedad Cardiovascular en la Mujer, Hospital Clínico Universitario Santiago de Compostela, A Coruña, SpainEspecialista en Cardiología en la Unidad de Rehabilitación Cardiaca, Hospital Universitario de Jaén, Jaén, SpainCoordinadora de la Unidad de Menopausia Saludable, Hospital Universitario La Zarzuela, Madrid, SpainUnidad de Menopausia Saludable, Clínica Corofas, Madrid, SpainFacultad de Medicina, Universidad Francisco de Vitoria, Madrid, SpainDepartamento Médico, Organon Salud España, Madrid, SpainUnidad de Vigilancia de la Salud, Unión de Mutuas de Castellón, Castellón, Spain0Departamento de Medicina, Universitat Jaume I, Castellón, SpainBackgroundCurrent clinical guidelines on cardiovascular disease (CVD) do not specifically address the female population. The aim of this consensus is to know the opinion of a group of experts on the management of CVD in women.MethodsThrough a Delphi consensus, 31 experts in cardiology, 9 in gynecology and obstetrics, and 14 primary care physicians, showed their degree of agreement on 44 items on CVD in women divided into the following groups: (1) risk factors and prevention strategies; (2) diagnosis and clinical manifestations; and (3) treatment and follow-up.ResultsAfter two rounds, consensus in agreement was reached on 27 items (61.4%). Most of the non-consensus items (31.8%) belonged to group 3. The lack of consensus in this group was mainly among gynecologists and primary care physicians. The panelists agreed on periodic blood pressure control during pregnancy and delivery to detect hypertensive disorders, especially in women with a history of preeclampsia and/or gestational hypertension, and diabetes mellitus control in those with gestational diabetes. Also, the panelists agreed that women receive statins at a lower intensity than men, although there was no consensus as to whether the efficacy of drug treatments differs between women and men.ConclusionsThe high degree of consensus shows that the panelists are aware of the differences that exist between men and women in the management of CVD and the need to propose interventions to reduce this inequality. The low level of consensus reveals the lack of knowledge, and the need for information and training on this topic.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/fullcardiovascular diseaseDelphidiagnosiswomenmultidisciplinarystatins |
| spellingShingle | José M. Gámez José M. Gámez Milagros Pedreira Pérez María Rosa Fernández Olmo María Fasero Laiz María Fasero Laiz María Fasero Laiz Verónica Inaraja Vicente Pallarés Carratalá Vicente Pallarés Carratalá Multidisciplinary management of cardiovascular disease in women: Delphi consensus Frontiers in Cardiovascular Medicine cardiovascular disease Delphi diagnosis women multidisciplinary statins |
| title | Multidisciplinary management of cardiovascular disease in women: Delphi consensus |
| title_full | Multidisciplinary management of cardiovascular disease in women: Delphi consensus |
| title_fullStr | Multidisciplinary management of cardiovascular disease in women: Delphi consensus |
| title_full_unstemmed | Multidisciplinary management of cardiovascular disease in women: Delphi consensus |
| title_short | Multidisciplinary management of cardiovascular disease in women: Delphi consensus |
| title_sort | multidisciplinary management of cardiovascular disease in women delphi consensus |
| topic | cardiovascular disease Delphi diagnosis women multidisciplinary statins |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/full |
| work_keys_str_mv | AT josemgamez multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT josemgamez multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT milagrospedreiraperez multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT mariarosafernandezolmo multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT mariafaserolaiz multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT mariafaserolaiz multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT mariafaserolaiz multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT veronicainaraja multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT vicentepallarescarratala multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus AT vicentepallarescarratala multidisciplinarymanagementofcardiovasculardiseaseinwomendelphiconsensus |