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...
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Autor*in:	José M. Gámez [verfasserIn] Milagros Pedreira Pérez [verfasserIn] María Rosa Fernández Olmo [verfasserIn] María Fasero Laiz [verfasserIn] Verónica Inaraja [verfasserIn] Vicente Pallarés Carratalá [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	cardiovascular disease Delphi diagnosis women multidisciplinary statins

Übergeordnetes Werk:	In: Frontiers in Cardiovascular Medicine - Frontiers Media S.A., 2015, 11(2024)
Übergeordnetes Werk:	volume:11 ; year:2024

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fcvm.2024.1315503

Katalog-ID:	DOAJ100785565

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520			\|a 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.
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allfields	10.3389/fcvm.2024.1315503 doi (DE-627)DOAJ100785565 (DE-599)DOAJe1083eab57de4d208b573747dd5574d2 DE-627 ger DE-627 rakwb eng RC666-701 José M. Gámez verfasserin aut Multidisciplinary management of cardiovascular disease in women: Delphi consensus 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. cardiovascular disease Delphi diagnosis women multidisciplinary statins Diseases of the circulatory (Cardiovascular) system José M. Gámez verfasserin aut Milagros Pedreira Pérez verfasserin aut María Rosa Fernández Olmo verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut Verónica Inaraja verfasserin aut Vicente Pallarés Carratalá verfasserin aut Vicente Pallarés Carratalá verfasserin aut In Frontiers in Cardiovascular Medicine Frontiers Media S.A., 2015 11(2024) (DE-627)793951607 (DE-600)2781496-8 2297055X nnns volume:11 year:2024 https://doi.org/10.3389/fcvm.2024.1315503 kostenfrei https://doaj.org/article/e1083eab57de4d208b573747dd5574d2 kostenfrei https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/full kostenfrei https://doaj.org/toc/2297-055X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2024
spelling	10.3389/fcvm.2024.1315503 doi (DE-627)DOAJ100785565 (DE-599)DOAJe1083eab57de4d208b573747dd5574d2 DE-627 ger DE-627 rakwb eng RC666-701 José M. Gámez verfasserin aut Multidisciplinary management of cardiovascular disease in women: Delphi consensus 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. cardiovascular disease Delphi diagnosis women multidisciplinary statins Diseases of the circulatory (Cardiovascular) system José M. Gámez verfasserin aut Milagros Pedreira Pérez verfasserin aut María Rosa Fernández Olmo verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut Verónica Inaraja verfasserin aut Vicente Pallarés Carratalá verfasserin aut Vicente Pallarés Carratalá verfasserin aut In Frontiers in Cardiovascular Medicine Frontiers Media S.A., 2015 11(2024) (DE-627)793951607 (DE-600)2781496-8 2297055X nnns volume:11 year:2024 https://doi.org/10.3389/fcvm.2024.1315503 kostenfrei https://doaj.org/article/e1083eab57de4d208b573747dd5574d2 kostenfrei https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/full kostenfrei https://doaj.org/toc/2297-055X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2024
allfields_unstemmed	10.3389/fcvm.2024.1315503 doi (DE-627)DOAJ100785565 (DE-599)DOAJe1083eab57de4d208b573747dd5574d2 DE-627 ger DE-627 rakwb eng RC666-701 José M. Gámez verfasserin aut Multidisciplinary management of cardiovascular disease in women: Delphi consensus 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. cardiovascular disease Delphi diagnosis women multidisciplinary statins Diseases of the circulatory (Cardiovascular) system José M. Gámez verfasserin aut Milagros Pedreira Pérez verfasserin aut María Rosa Fernández Olmo verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut Verónica Inaraja verfasserin aut Vicente Pallarés Carratalá verfasserin aut Vicente Pallarés Carratalá verfasserin aut In Frontiers in Cardiovascular Medicine Frontiers Media S.A., 2015 11(2024) (DE-627)793951607 (DE-600)2781496-8 2297055X nnns volume:11 year:2024 https://doi.org/10.3389/fcvm.2024.1315503 kostenfrei https://doaj.org/article/e1083eab57de4d208b573747dd5574d2 kostenfrei https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/full kostenfrei https://doaj.org/toc/2297-055X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2024
allfieldsGer	10.3389/fcvm.2024.1315503 doi (DE-627)DOAJ100785565 (DE-599)DOAJe1083eab57de4d208b573747dd5574d2 DE-627 ger DE-627 rakwb eng RC666-701 José M. Gámez verfasserin aut Multidisciplinary management of cardiovascular disease in women: Delphi consensus 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. cardiovascular disease Delphi diagnosis women multidisciplinary statins Diseases of the circulatory (Cardiovascular) system José M. Gámez verfasserin aut Milagros Pedreira Pérez verfasserin aut María Rosa Fernández Olmo verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut Verónica Inaraja verfasserin aut Vicente Pallarés Carratalá verfasserin aut Vicente Pallarés Carratalá verfasserin aut In Frontiers in Cardiovascular Medicine Frontiers Media S.A., 2015 11(2024) (DE-627)793951607 (DE-600)2781496-8 2297055X nnns volume:11 year:2024 https://doi.org/10.3389/fcvm.2024.1315503 kostenfrei https://doaj.org/article/e1083eab57de4d208b573747dd5574d2 kostenfrei https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/full kostenfrei https://doaj.org/toc/2297-055X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2024
allfieldsSound	10.3389/fcvm.2024.1315503 doi (DE-627)DOAJ100785565 (DE-599)DOAJe1083eab57de4d208b573747dd5574d2 DE-627 ger DE-627 rakwb eng RC666-701 José M. Gámez verfasserin aut Multidisciplinary management of cardiovascular disease in women: Delphi consensus 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. cardiovascular disease Delphi diagnosis women multidisciplinary statins Diseases of the circulatory (Cardiovascular) system José M. Gámez verfasserin aut Milagros Pedreira Pérez verfasserin aut María Rosa Fernández Olmo verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut María Fasero Laiz verfasserin aut Verónica Inaraja verfasserin aut Vicente Pallarés Carratalá verfasserin aut Vicente Pallarés Carratalá verfasserin aut In Frontiers in Cardiovascular Medicine Frontiers Media S.A., 2015 11(2024) (DE-627)793951607 (DE-600)2781496-8 2297055X nnns volume:11 year:2024 https://doi.org/10.3389/fcvm.2024.1315503 kostenfrei https://doaj.org/article/e1083eab57de4d208b573747dd5574d2 kostenfrei https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/full kostenfrei https://doaj.org/toc/2297-055X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2024
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Gámez</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Multidisciplinary management of cardiovascular disease in women: Delphi consensus</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2024</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">BackgroundCurrent clinical guidelines on cardiovascular disease (CVD) do not specifically address the female population. 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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. 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callnumber-first	R - Medicine
author	José M. Gámez
spellingShingle	José M. Gámez misc RC666-701 misc cardiovascular disease misc Delphi misc diagnosis misc women misc multidisciplinary misc statins misc Diseases of the circulatory (Cardiovascular) system Multidisciplinary management of cardiovascular disease in women: Delphi consensus
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title	Multidisciplinary management of cardiovascular disease in women: Delphi consensus
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title_full	Multidisciplinary management of cardiovascular disease in women: Delphi consensus
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author_browse	José M. Gámez Milagros Pedreira Pérez María Rosa Fernández Olmo María Fasero Laiz Verónica Inaraja Vicente Pallarés Carratalá
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title_sort	multidisciplinary management of cardiovascular disease in women: delphi consensus
callnumber	RC666-701
title_auth	Multidisciplinary management of cardiovascular disease in women: Delphi consensus
abstract	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.
abstractGer	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.
abstract_unstemmed	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.
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title_short	Multidisciplinary management of cardiovascular disease in women: Delphi consensus
url	https://doi.org/10.3389/fcvm.2024.1315503 https://doaj.org/article/e1083eab57de4d208b573747dd5574d2 https://www.frontiersin.org/articles/10.3389/fcvm.2024.1315503/full https://doaj.org/toc/2297-055X
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author2	José M. Gámez Milagros Pedreira Pérez María Rosa Fernández Olmo María Fasero Laiz Verónica Inaraja Vicente Pallarés Carratalá
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up_date	2024-07-03T16:40:26.431Z
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Gámez</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Multidisciplinary management of cardiovascular disease in women: Delphi consensus</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2024</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">BackgroundCurrent clinical guidelines on cardiovascular disease (CVD) do not specifically address the female population. 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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. 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Gámez</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Milagros Pedreira Pérez</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">María Rosa Fernández Olmo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">María Fasero Laiz</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">María Fasero Laiz</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">María Fasero Laiz</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" 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Multidisciplinary management of cardiovascular disease in women: Delphi consensus

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