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The female specificities of hypertension, what the gynecologist needs to know for his practice.

Prof. Claire Mounier Véhier, head of the Hypertension Department at the Lille University Hospital's Institut Cœur Poumon, founder of the Parcours coordonné de soins Cœur Artères Femmes and co-founder, with Thierry Drillon, of the endowment fund Agir pour le cœur des femmes, discusses the specificities of managing hypertension in women in different hormonal phases.

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In France, there are 14 million hypertensives. Cardiovascular accidents are the leading cause of death in women. High blood pressure is under-detected and under-treated, yet it is a pathology linked to a number of modifiable risk factors. Moreover, in women, there are 3 circumstances in which high blood pressure can be detected and treated: contraception, pregnancy and menopause.

Many questions are addressed:
- When and how should women be screened for hypertension?
- What are the risk factors for hypertension? What are the particularities of female hypertension?
- It's often said that hypertension is a silent killer, with few or no symptoms. Is this true? Aren't there small warning symptoms that can sometimes be confused with other pathologies that should be looked for, especially if the patient suffered from hypertension during pregnancy or if there is a history of hypertension in the family?
- Can we better stratify cardiovascular risk in women today, taking into account their hormonal specificities?
- Is the treatment of hypertension in women different from that in men? Do we have preferences for families of anti-hypertensives, particularly according to the profile of women, or, on the contrary, precautions for use, I'm thinking of pregnant women?
- What should I teach my female hypertensive patient about measuring her blood pressure and the blood pressure targets to be achieved under treatment?

 
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