Multidisciplinary management of cardiovascular disease in women: Delphi consensus
Impacto
Scholar |
Otros documentos de la autoría: Gámez, José Mª; Pedreira Pérez, Mila; Fernández Olmo, María Rosa; Fasero, Maria; Inaraja, Veronica; Pallarés-Carratalá, Vicente
Metadatos
Mostrar el registro completo del ítemcomunitat-uji-handle:10234/9
comunitat-uji-handle2:10234/36080
comunitat-uji-handle3:10234/36082
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INVESTIGACIONMetadatos
Título
Multidisciplinary management of cardiovascular disease in women: Delphi consensusAutoría
Fecha de publicación
2024Editor
FrontiersISSN
2297-055XCita bibliográfica
Gámez JM, Pedreira Pérez M, Fernández Olmo MR, Fasero Laiz M, Inaraja V and Pallarés Carratalá V (2024) Multidisciplinary management of cardiovascular disease in women: Delphi consensus. Front. Cardiovasc. Med. 11:1315503. doi: 10.3389/fcvm.2024.1315503Tipo de documento
info:eu-repo/semantics/articleVersión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Background: Current 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 ... [+]
Background: Current 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.
Methods: Through 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.
Results: After 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.
Conclusions: The 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. [-]
Publicado en
Frontiers in Cardiovascular Medicine 11:1315503Derechos de acceso
info:eu-repo/semantics/openAccess
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