Sijtsma, C. (Charlotte) (2016) Retrospectieve analyse van hart- en vaatziekten op de vrouwenpoli cardiologie in OLVG West. thesis, Medicine.
![[img]](https://umcg.studenttheses.ub.rug.nl/style/images/fileicons/text.png) |
Text
SijtsemaC.pdf Restricted to Registered users only Download (828kB) |
Abstract
Background: Cardiovascular diseases are the number one cause of death for women. In previous years women were underrepresented in many cardiovascular clinical trials. However recent studies show gender- differences in clinic presentation, pathophysiology, risk factors and diagnostics of cardiovascular diseases. Therefore, conducting a more explanatory sex-specific research is necessary for a better heart health in women. In the Netherlands many cardiological outpatient clinics are developed especially for women. The women cardiological outpatient clinic in OLVG West is one of these. The aim of this study was to sketch a profile of the women who visited this women outpatient clinic in OLVG West. Possible prevalence of cardiovascular risk factors, diagnostic results and the final diagnoses were investigated. As a result, new viewpoints of the women specific cardiology were obtained. This is the first study who investigated such women outpatient clinic. Methods: This study concerned a retrospective analysis of 123 pre and post-menopausal patients between 45-65 years old, who presented themselves at the women outpatient clinic in the period between 2012 and 2015. The study included patients with possible cardiovascular complaints and/or cardiovascular risk factors. Data was obtained through electronic patients files completed with a questionnaire filled in by the patients before consultation. Women could register themselves for a consult or be redirected by their general practitioner or a specialist. Results: Results showed that 42,5% of the women suffered cardiovascular diseases. The complaint ‘chest pain’ was the most common complaint (66,7%), followed by ‘dyspnoe d’effort’ (58,5%) and ‘palpitations’ (50,4%). When we looked at the number of individual complaints, 78,8% of the women had more than one complaint at the same time. Four complaints was the most common (33,3%).We observed a significant deviation of SBP values (>140mmHg), abnormal ECG results and a history of cardiac diseases in comparison with women who were not diagnosed with a cardiovascular disease. Regression analysis showed an increased risk of cardiovascular diseases by continue SBP (OR1,033) and a history of cardiac diseases (OR 5,631). Conclusion: This study showed that the surveyed female patients at the women outpatient clinic had a similar to higher percentage of diagnoses compared to participants in previous research on this subject, suggesting that the women output clinic has been effective and representative for diagnosing cardiovascular disease in women. It is advisable to continue with this kind of secondary care for women with symptoms or risk factors that may be associated with cardiovascular disease. Hypertension and a cardiac history showed a significant association with cardiovascular disease. However, in our research, no significant variables were found that support the implementation of specific new areas of concern in order to improve the women outpatient clinics. We hope that future research will contribute to more evidence-based decisions that will optimize preventive measures as well as detection and treatment of cardiovascular disease in women.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Nijholt, dr. I.M. and Isala te Zwolle |
| Supervisor name: | Extern begeleider: dr. J.M. Schroeder-Tanka, Onze Lieve Vrou and Locatie: afdeling Cardiologie, Onze Lieve Vrouwe Gasthuis lo |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:01 |
| Last Modified: | 25 Jun 2020 11:01 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2118 |
Actions (login required)
 |
View Item |