Ob/Gyn Visit a Good Time to Screen for Heart Disease: Study

MONDAY, March 26 (HealthDay News) — Women should be screened for
heart disease — a leading cause of death among women in the United
States — during routine visits to obstetrics and gynecology clinics, a
new study suggests.

Researchers from Mount Sinai Medical Center in New York City found that
heart screenings performed during visits to obstetrician/gynecologists
could help identify women with undetected risk factors for the condition.
In addition, the screenings could significantly increase awareness among
women about heart disease prevention and treatment, the researchers
added.

“There is a real disparity in the medical community where we tend to
think heart disease is a disease of men, and historically we have not done
a very good job of screening women for cardiovascular risk factors,” the
study’s principal investigator, Dr. Roxana Mehran, director of
interventional cardiovascular research and clinical trials at Mount Sinai
Medical Center, said in a news release from the American College of
Cardiology.

“It often doesn’t occur to women that they could have a heart problem
until their symptoms are very advanced, so we have to think differently
and be creative about how we identify, educate and treat women at risk,”
Mehran explained.

In conducting the study, the researchers asked 10 ob/gyn clinics to put
a screening program in place to identify women with symptoms or risk
factors for heart disease. Over the course of two years, more than 2,200
women completed a one-page survey on traditional and gestational heart
disease. Women who were never screened for heart disease before also had
their blood pressure taken.

The program revealed that 69 percent of the middle-aged women screened
had heart disease risk factors. Meanwhile, 42 percent also had symptoms of
the condition. The investigators also found that 18 percent of the women
screened considered their ob/gyn to be their primary health care provider.

Among the women in the study, a significant number either had never
been checked or were unsure if they had been checked for high blood
pressure (21 percent), high cholesterol (38 percent) or high blood sugar
(19 percent). Following the screenings, 25 percent of the women were
referred to a primary care physician or another specialist for further
treatment for heart disease.

“We found a real lack of awareness among many of these women that they
had risk factors, including diabetes, high blood pressure and high
cholesterol. Ob/gyn practices have an incredible opportunity to make an
impact on heart disease in women by screening, educating and directing
women to the right providers, so we hope to see continued research in this
area,” Mehran said.

The study authors noted that more research involving a larger group of
women is needed to determine if screenings at ob/gyn clinics improve
outcomes among women with heart disease.

The study findings were scheduled for presentation Sunday at the annual
meeting of the American College of Cardiology in Chicago. The data and
conclusions of research presented at medical meetings should be viewed as
preliminary until published in a peer-reviewed journal.

More information

The U.S. National Library of Medicine has more about heart disease in women.

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