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Gender-related differences in the management of hypertension by cardiologists: the PARITE study

Claire Mounier-Vehier1, Tabassome Simon, Dominique Guedj-Meynier

  • 1Pôle cardiovasculaire et pulmonaire, médecine vasculaire et hypertension artérielle, faculté Henri-Warembourg, université de Lille, CHRU de Lille, France. claire.mounier-vehier@chru-lille.fr

Archives of Cardiovascular Diseases
|June 20, 2012
PubMed

Insights

French cardiologists manage hypertension similarly in men and women, though women undergo fewer cardiovascular investigations. Guidelines should emphasize improved cardiovascular disease prevention strategies for women.

Area of Science:

  • Cardiology
  • Public Health
  • Gender Studies

Background:

  • Existing research indicates gender disparities in managing cardiovascular risk factors and diseases.
  • The specific impact of patient gender on hypertension management by French cardiologists remains under-explored.

Purpose of the Study:

  • To investigate gender-based differences in the management of hypertensive patients by office-based cardiologists in France.
  • To analyze cardiovascular investigations and hypertension control in relation to patient gender and global cardiovascular risk.

Main Methods:

  • A cross-sectional, multicentre study involving 654 cardiologists and 3440 adult patients with essential hypertension.
  • Cardiologists consecutively enrolled two men and two women for routine consultations.
  • Evaluation of therapeutic management included cardiovascular investigations within six months and hypertension control, stratified by gender and global cardiovascular risk.

Main Results:

  • Hypertension remained uncontrolled in 76% of both male and female patients.
  • A significant disparity was observed in cardiovascular investigations, with women (22.6%) undergoing fewer than men (44.2%).
  • Treatment regimens were adjusted in approximately 50% of patients, irrespective of gender or cardiovascular risk level.

Conclusions:

  • Antihypertensive regimens are adjusted with similar frequency for male and female patients in French cardiology practice.
  • There is a notable need to enhance cardiovascular disease investigation in women.
  • Implementation of established cardiovascular disease prevention guidelines for women is recommended for healthcare providers.
Abstract

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