Pre-eclampsia is a disease characterized by placental damage leading to a cascade of complications during pregnancy. It is initially manifested by high blood pressure and the presence of albumin in the urine. It can lead to emergency hospitalization in severe cases and cause major complications or even death in the mother and the fetus. Several studies observing the outcome of patients with pre-eclampsia have shown an increased long-term cardiovascular risk in these patients, justifying regular medical follow-up with the treating physician and specialists, mainly cardiologists. The main objective of this research is to describe the cardiovascular risk assessment actions implemented by the treating general practitioner in the year following pre-eclampsia (blood pressure measurement in the office, self-measurement of blood pressure, ABPM, cardiological consultation, biological monitoring of blood (creatininemia, LDL, fasting glycemia) or urine (albuminurie/creatininurie ratio), and screening and management of possible smoking).
Study Type
OBSERVATIONAL
Enrollment
155
Cardiovascular risk assessment by the general practitioner in the year following pre-eclampsia
CHRU de NANCY
Vandœuvre-lès-Nancy, France
Performing a blood pressure measurement by the general practitioner
Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as blood pressure measurement in the office. Composite outcome with 2, 3, 4, 5 and 6
Time frame: Up to one year following pre eclampsia
Performing a self-measurement of blood pressure
Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as self-measurement of blood pressure. Composite outcome with 2, 3, 4, 5 and 6
Time frame: Up to one year following pre eclampsia
Performing a cardiological consultation
Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as cardiological consultation. Composite outcome with 2, 3, 4, 5 and 6
Time frame: Up to one year following pre eclampsia
Performing a ambulatory measurement of blood pressure
Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as ambulatory measurement of blood pressure. Composite outcome with 2, 3, 4, 5 and 6
Time frame: Up to one year following pre eclampsia
Performing a biological monitoring of blood (creatinine, LDL cholesterol, fasting glucose, albuminuria creatinuria ratio)
Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as biological monitoring of blood (creatinine, LDL, fasting glucose) or urine (Albuminuria/creatininuria ratio). Composite outcome with 2, 3, 4, 5 and 6.
Time frame: Up to one year following pre eclampsia
Screening and management of possible smoking
Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as screening and management of possible smoking. Composite outcome with 1, 2, 3, 4 and 5
Time frame: Up to one year following pre eclampsia
Cardiovascular risk assessment by the general practitioner
Patient's cardiovascular risk evaluation by the general practitioner (low, medium, high or very high).
Time frame: Up to 5 years following pre eclampsia
Cardiovascular risk assessment by the patient
Patient's cardiovascular risk evaluation by the patient (low, medium, high or very high).
Time frame: Up to 5 years following pre eclampsia
Knowledge of pre-eclampsia status
Knowledge of the pre-eclampsia status of the patient by the general practitioner.
Time frame: Up to 5 years following pre eclampsia
Pre eclampsia information mode
How general practitioner is informed about pre-eclampsia
Time frame: Up to 5 years following pre eclampsia
Performing a blood pressure measurement
Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as blood pressure measurement in the office.
Time frame: Up to one year following pre eclampsia
Performing a self-measurement of blood pressure
Actions implemented by the general practiotioner within the following specific tools as reported by the patient.such as self-measurement of blood pressure.
Time frame: Up to one year following pre eclampsia
Performing a cardiological consultation
Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as cardiological consultation.
Time frame: Up to one year following pre eclampsia
Performing a ambulatory measurement of blood pressure
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Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as ambulatory measurement of blood pressure.
Time frame: Up to one year following pre eclampsia
Performing a biological monitoring of blood (creatinine, LDL cholesterol, fasting glucose, albuminuria creatinuria ratio)
Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as biological monitoring of blood (creatinine, LDL, fasting glucose) or urine (Albuminuria/creatininuria ratio).
Time frame: Up to one year following pre eclampsia
Screening and management of possible smoking
Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as screening and management of possible smoking.
Time frame: Up to one year following pre eclampsia
Rate of hypertension following pre-eclampsia
Composite endpoint of hypertension, stroke and/or coronary accident with 17;18
Time frame: Up to 5 years following pre eclampsia
Rate of stroke following pre-eclampsia
Composite endpoint of hypertension, stroke and/or coronary accident with 16;18
Time frame: Up to 5 years following pre eclampsia
Rate of coronary accident following pre-eclampsia
Composite endpoint of hypertension, stroke and/or coronary accident with 16;17
Time frame: Up to 5 years following pre eclampsia