Women who care: perceptions of cardiovascular death among argentine female health professionals

Authors

  • Albertina Ghelfi Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Cecilia Lutman Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Paula Ceolato Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Franco Dipaolo Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Rubén Mamprín D´ Andrea Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Melisa Lassus Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • María Guadalupe Calcaterra Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Jorgelina Herrera Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Milena Bellittieri Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Romina Maldonado Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Rocío Pallero Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Marcelo Cicao Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Gabriel Dubrawski Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Jorge Galíndez Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina
  • Mildren Del Sueldo Certus

DOI:

https://doi.org/10.63600/8r659983

Keywords:

Health perception, Self-care, Women, Health professionals, Cardiovascular disease

Abstract

Introduction: cardiovascular disease is the leading cause of death among women worldwide. However, awareness of this condition, even within the healthcare sector itself, appears to be insufficient. The main objective of this study was to identify the perception of cardiovascular disease as the leading cause of death among female healthcare professionals. Methods: descriptive, cross-sectional study conducted between 2020 and 2021. Argentine female health care professionals with access to electronic devices and the internet were included. Results: the final sample consisted of 1,089 surveys. The mean age was 43.1±10.8 years, and the mean time since graduation was 16.2±10.7 years. A total of 58.7% were involved in teaching activities, and 1.2% were retired. Cardiovascular disease was not identified as the leading cause of death in women by 62.5% of participants. Only 25.9% had primary care physicians. Moreover, 59.3% reported not having undergone a clinical check-up in the previous year, and 59.9% indicated seeking informal consultations with colleagues to address health concerns. Blood pressure measurement was reported in 18.6% of gynecological visits and 62.7% of clinical check-ups. Conclusions: six out of ten health care professionals did not recognize cardiovascular disease as the leading cause of death among women. Self-care practice was low. Blood pressure measurement during medical check-ups was infrequently reported.

References

1. Ghelfi AM, Staffieri GJ. Hypertension in non-pregnant women of childbearing age. Med Clin (Barc). 2022;159(2):101–5.

2. Del-Sueldo M, Brienza S, Lorenzatti A, Gutierrez N, Brocal L, Ribotta M, et al. Percepción, conocimiento y conductas preventivas sobre enfermedad cardiovascular en mujeres argentinas. Rev Fed Argentina Cardiol. 2022;51(2):68–77.

3. Del-Sueldo M, Martell-Claros N, Abad-Cardiel M, Zilberman JM, Marchegiani R, Fernández-Pérez C. Health perception in menopausal women. Int J Womens Health. 2018:10:655-661.

4. Del-Sueldo MA, Mendonça-Rivera MA, Sánchez-Zambrano MB, Zilberman J, Múnera-Echeverri AG, Paniagua M, et al. Guía de práctica clínica de la Sociedad Interamericana de Cardiología sobre prevención primaria de enfermedad cardiovascular en la mujer. Arch Cardiol México 2022;92 (Supl):1-68.

5. Sosa Liprandi MI, Harwicz PS, Sosa Liprandi A. Causas de muerte en la mujer y su tendencia en los últimos 23 años en la Argentina. Rev Argent Cardiol. 2006;74:297–303.

6. American Heart Association. Go Red for Women [Internet]. Dallas (TX): American Heart Association; [citado 2026 Enero 18]. Disponible en: https://www.goredforwomen.org/en/

7. Delucchi AM, Majul CR, Vicario A, Cerezo GH, Fábregues G. Registro Nacional de Hipertensión Arterial. Características epidemiológicas de la hipertensión arterial en la Argentina. Estudio RENATA 2. Rev Argent Cardiol. 2017;85:354–60.

8. Hipertensión Arterial y Riesgo Cardiovascular en la Mujer. Ghelfi A, Renna N, Rodriguez P, editores. 1 a ed. Ciudad Autónoma de Buenos Aires: Sociedad Argentina de Hipertensión Arterial; 2024. p. 1-11.

9. Artucio C, Giambruno M, Duro I, Michelis V, Korytnicki D, Barranco D, et al. Enfermedad cardiovascular en la mujer. Cómo la perciben, qué conocen y qué conductas de prevención adoptan las mujeres. Rev Urug Cardiol. 2017;32: 13–22.

10. Lichtman JH, Leifheit-Limson EC, Watanabe E, Allen NB, Garavalia B, Garavalia LS, et al. Symptom recognition and healthcare experiences of young women with acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2015;8:S31–8.

11. Acceso y uso de tecnologías de la información y la comunicación. EPH. Inf Técnicos Cienc y Tecnol [Internet]. 2020;4(83):1–16. URL available from: https://www.indec.gob.ar/uploads/informesdeprensa/mautic_05_20A36AF16B31.pdf

12. Merz CNB, Andersen H, Sprague E, Burns A, Keida M, Walsh MN, et al. Knowledge attitudes, and beliefs regarding cardiovascular disease in women. The Women’s Heart Alliance. J Am Coll Cardiol. 2017;70:123–32.

13. Ramírez Mera UN, Barragán López JF. University students’ selfperception on the use of digital technologies for learning. Apertura (Guadalajara, Jal). 2018;10(2):94–109.

14. Argentina. Ministerio de Salud de la Nación. Dirección de Estadísticas e Información en Salud. Estadísticas vitales - Información básica. Año 2022 [Internet]. Buenos Aires: Ministerio de Salud; 2023 [citado 2026 Enero 18]. Disponible en: https://www.argentina.gob.ar/salud/estadisticas/datos-vitales

15. Seiref S, Alvarado Arichuluaga D, Bertin M, Del Vecchio AM, Forneris S, Irico S, et al. Consenso FASGO 2024: Control ginecológico en la mujer sana [Internet]. Buenos Aires: Federación Argentina de Sociedades de Ginecología y Obstetricia (FASGO); 2024 [citado 2026 Enero 18]. Disponible en: https://www.fasgo.org.ar/images/Consenso_FASGO_2024_Control_Ginecologico_en_la_Mujer_Sana.pdf

16. Liss DT, Uchida T, Wilkes CL, Radakrishnan A, Linder JA. General Health Checks in Adult Primary Care. A Review. JAMA. 2021;325(22):2294-2306.

17. Mosca L, Jones WK, King KB, Ouyang P, Redberg RF, Hill MN. Awareness, perception, and knowledge of heart disease risk and prevention among women in the United States. Arch Fam Med. 2000;9(6):506-15.

18. Dattoli-García CA, Jackson-Pedroza CN, Gallardo-Grajeda AL, Gopar-Nieto R, Araiza-Garygordobil D, Arias-Mendoza A. Acute myocardial infarction: Review on risk factors, etiologies, angiographic characteristics and outcomes in young patients. Arch Cardiol Mex. 2021;91(4):485-92.

19. Huxley R, Barzi F, Woodward M. Excess risk of fatal coronary heart disease associated with diabetes in men and women: Meta-analysis of 37 prospective cohort studies. Br Med J. 2006;332(7533):73-6.

20. Schwartz LM, Woloshin S, Welch HG. Misunderstandings about the Effects of Race and Sex on Physicians’ Referrals for Cardiac Catheterization. N Engl J Med. 1999;341(4):279–83.

21. Organización Panamericana de la Salud. Género y determinantes sociales de la salud. Washington, D.C.: OPS; 2019. Disponible en: https://iris.paho.org/handle/10665.2/51744}

22. Sen G, Östlin P. Gender inequity in health: why it exists and how we can change it. Glob Public Health. 2008;3 Suppl 1:1–12.

23. Mehta LS, Beckie TM, DeVon HA, Grines CL, Krumholz HM, Johnson MN, et al. Acute myocardial infarction in women: a scientific statement from the American Heart.

24. Redberg RF, Benjamin EJ, Bairey Merz CN, Braun LT, Daniels SR, Desvigne-Nickens P. A call for inclusion of sex and gender in cardiovascular medical education. Circulation. 2015;132(20):1867–1869.

25. Ghelfi AM, Lassus MN, Passarino FA, Mamprin D’Andrea RF, Fierro LN, Velez LL, et al. Arterial stiffness detection in women with recent history of pre-eclampsia. Hipertens y Riesgo Vasc. 2024

26. Parikh NI, Gonzalez JM, Anderson CAM, Judd SE, Rexrode KM, Hlatky MA, et al. Adverse Pregnancy Outcomes and Cardiovascular Disease Risk: Unique Opportunities for Cardiovascular Disease Prevention in Women: A Scientific Statement From the American Heart Association. Circulation. 2021;143:E902-16.

27. Ghelfi AM, Quintana R, Velez LL, Berbotto LA, Nieto R, Kisluk B, Galíndez JO, Berbotto GA. Arterial Stiffness and Cardiovascular Risk Reclassification in Patients with Autoimmune Rheumatic Diseases. High Blood Press Cardiovasc Prev. 2025;32(4):439-450.

28. Ghelfi AM, Staffieri GJ, Del-Sueldo MA, Miranda G, Renna NF, Quintana RM, et al. Under-recognized cardiovascular risk enhancers in women: A call to rethink clinical assessment on risk stratification. Am J Prev Cardiol. 2025;21:100942.

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Published

2026-03-30

How to Cite

1.
Women who care: perceptions of cardiovascular death among argentine female health professionals. Rev. Fed. Arg. Cardiol. [Internet]. 2026 Mar. 30 [cited 2026 Sep. 26];55(1):53-9. Available from: https://revistafac.org.ar/ojs/index.php/revistafac/article/view/787