title: ["Heart, arteries and women" an innovative care pathway for women at high risk: First evaluation at one year].
abstract: BACKGROUND
  Cardiovascular diseases remain the first cause of death in women. To improve women's health cardiologists and gynaecologists should work together on women's specific cardiovascular risk factor.
  
  
  METHODS
  Our study evaluated a care pathway named "heart, arteries and women". One hundred and ninety-one women were included for vascular (n=55) or hypertensive (n=136) explorations from January the first to December the 31st of 2013. We studied their clinical presentation and medical management.
  
  
  RESULTS
  All women were at high cardiovascular risk (38% of them at very high risk). The average age was 52 years old. A woman on three had experienced high blood pressure or diabetes during pregnancy. One on two was postmenopausal woman. We stopped twelve estrogen-progesterone contraceptions; 60% didn't have gynaecological follow-up; 146 had high blood pressures (73% at night, 50% had no dipping blood pressure profile and 15 were newly diagnosed for hypertension). Sleep apnoea syndrome was suspected in half women. Medical therapies were optimized especially for women with atheroma in which 30 to 46% were properly treated (P=0.0005). Only 18% of the gynecologists received conclusive reports.
  
  
  CONCLUSIONS
  At one year, our care pathway "heart, arteries and women" allowed to optimize medical therapy and clinical management. Everyone should be aware of this program.
authors.affiliation: Médecine vasculaire-HTA, pôle cardiovasculaire-pulmonaire, université de Lille 2, 59037 Lille cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Boudghène
authors.affiliation: Médecine vasculaire-HTA, pôle cardiovasculaire-pulmonaire, université de Lille 2, 59037 Lille cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Gautier
authors.affiliation: Médecine vasculaire-HTA, pôle cardiovasculaire-pulmonaire, université de Lille 2, 59037 Lille cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Delsart
authors.affiliation: Médecine vasculaire-HTA, pôle cardiovasculaire-pulmonaire, université de Lille 2, 59037 Lille cedex, France.
authors.forename: G
authors.initials: G
authors.lastname: Claisse
authors.affiliation: Pôle de gynécologie-obstétrique, CHRU de Lille, université de Lille 2, 59037 Lille cedex, France.
authors.forename: B
authors.initials: B
authors.lastname: Letombe
authors.affiliation: Cabinet médical, 12, rue Raoul-Briquet, 62217 Agny, France.
authors.forename: P
authors.initials: P
authors.lastname: Fayolle
authors.affiliation: Délégation à la recherche, CHRU de Lille, 59037 Lille cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Devos
authors.affiliation: Médecine vasculaire-HTA, pôle cardiovasculaire-pulmonaire, université de Lille 2, 59037 Lille cedex, France. Electronic address: claire.mounier-vehier@chru-lille.fr.
authors.forename: C
authors.initials: C
authors.lastname: Mounier Vehier
mesh_terms: D000328:Adult; D001158:Arteries; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000628:therapy*; D019091:Critical Pathways; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016387:Women's Health
keywords: Cardiovascular risk; Care pathway; Contraception; Grossesse; Hypertension; Hypertension artérielle; Menopause; Ménopause; Parcours de soins; Pregnancy; Risque cardiovasculaire; Traitement; Treatment