Optimizing women's cardiovascular health after hypertensive disorders of pregnancy: a translational approach to cardiovascular disease prevention

2021 ◽  
Author(s):  
Kara A. Nerenberg ◽  
Christy-Lynn Cooke ◽  
Graeme N. Smith ◽  
Sandra T. Davidge
Keyword(s):  
Cardiovascular Disease ◽  
Disease Prevention ◽  
Cardiovascular Health ◽  
Cardiovascular Disease Prevention ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
Translational Approach

scholarly journals Assessing knowledge of healthcare providers concerning cardiovascular risk after hypertensive disorders of pregnancy: an Australian national survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Heike Roth ◽  
Caroline S. E. Homer ◽  
Clare Arnott ◽  
Lynne Roberts ◽  
Mark Brown ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Risk ◽  
Cardiovascular Health ◽  
Gestational Hypertension ◽  
Current Knowledge ◽  
Healthcare Providers ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
Increased Risk

Abstract Background Hypertensive disorders of pregnancy (HDP) affect 5–10% of pregnant women. Women after HDP have 2–3 times increased risk of heart attack, stroke and diabetes, as soon as 5–10 years after pregnancy. Australian healthcare providers’ knowledge of cardiovascular disease (CVD) risks for women after HDP is unknown, and this study aimed to explore their current knowledge and practice regarding long-term cardiovascular health after HDP, as a precursor to producing targeted healthcare provider education on health after HDP. Methods A custom-created, face-validated online survey explored knowledge about long-term risks after HDP. Distribution occurred from February to July 2019 via professional colleges, key organisations and social media. The objective was to assess current knowledge and knowledge gaps amongst a group of healthcare providers (HCP) in Australia, regarding long-term cardiovascular health after hypertensive disorders of pregnancy (HDP), specifically gestational hypertension or preeclampsia. Results Of 492 respondents, 203 were midwives, 188 obstetricians, 75 general practitioners (GP), and 26 cardiologists. A risk knowledge score was computed with 0–6 considered low, 6.1–8.9 moderate and 9–12 high. Most participants (85%) were aware of increased cardiovascular disease after preeclampsia and gestational hypertension (range 76% midwives to 100% cardiologists). There were significant differences in average knowledge scores regarding health after preeclampsia; high for cardiologists (9.3), moderate for GPs and obstetricians (8.2 and 7.6 respectively) and low for midwives (5.9). Average knowledge scores were somewhat lower for gestational hypertension (9.0 for cardiologists, 7.4 for obstetricians and GPs, 5.1 for midwives). Knowledge was highest regarding risk of chronic hypertension, moderate to high regarding risk of ischaemic heart disease, stroke and recurring HDP, and low for diabetes and peripheral vascular disease. Only 34% were aware that risks start < 10 years after the affected pregnancy. Conclusion(s) Participants were aware there is increased cardiovascular risk after HDP, although less aware of risks after gestational hypertension and some specific risks including diabetes. Findings will inform the development of targeted education.

“Now even Television is Promoting Health?” On the Intertwined History of Television and Cardiovascular Disease Prevention in the German Democratic Republic, 1950s–1970s

Gesnerus ◽  
2019 ◽  
Vol 76 (2) ◽  
pp. 247-278
Author(s):  
Stefan Offermann
Keyword(s):  
Cardiovascular Disease ◽  
Health Education ◽  
Disease Prevention ◽  
German Democratic Republic ◽  
Cardiovascular Health ◽  
Democratic Republic ◽  
Mass Medium ◽  
Cardiovascular Disease Prevention ◽  
Potential Threat ◽  
History Of

This paper argues that the historical trajectories of television and cardiovascular disease prevention in the German Democratic Republic are interlocking. These diseases were largely understood as caused by an unhealthy modern lifestyle. Healthcare experts were convinced that health education was an effective strategy to persuade the population to follow a healthy lifestyle. With its rise as a new mass medium, health educators increasingly relied on television as a means to put their message across. Yet the new medium itself was a target of health education measures as excessive TV consumption was considered a potential threat to cardiovascular health. This article deals with the history of health-related problematizations of TV consumption. In the 1950s and early 1960s, during an animated discourse on the strain of a modern lifestyle television was considered a potential source of overstimulation of the nervous system. As this article argues, this interpretation was undermined by a modified concept of TV consumption within the discourse of empirical audience research.

Likely developments over the next 5–10 years

ESC CardioMed ◽  
2018 ◽  
pp. 3063-3064
Author(s):  
Susanne Pedersen
Keyword(s):  
Cardiovascular Disease ◽  
Clinical Practice ◽  
Disease Prevention ◽  
Psychological Factors ◽  
Cardiovascular Health ◽  
Cardiovascular Disease Prevention ◽  
Level Of Evidence ◽  
European Guidelines ◽  
Cardiac Psychology

The field of cardiac psychology has evolved significantly in the last decade, leading to cementation of the role of psychological factors in cardiovascular health in the European guidelines on cardiovascular disease prevention in clinical practice in 2012. Hence, psychological factors are here to stay in the guidelines, with the hope that steps will be taken to increase the level of evidence in the next decade and that initiatives will be taken to integrate these factors in clinical practice to guide the treatment and management of patients.

The Mediterranean and other Dietary Patterns in Secondary Cardiovascular Disease Prevention: A Review

2016 ◽  
Vol 14 (5) ◽  
pp. 442-451 ◽  
Author(s):  
Demosthenes B. Panagiotakos ◽  
Venetia Notara ◽  
Matina Kouvari ◽  
Christos Pitsavos
Keyword(s):  
Cardiovascular Disease ◽  
Disease Prevention ◽  
Dietary Patterns ◽  
Cardiovascular Disease Prevention ◽  
The Mediterranean
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