Project Description

Woman centered care

Cross border early Cardiovascular risk detection for women at the heart of live

In Western Europe rural areas, specific those near country borders, struggle with declining availability of services, healthcare included. At the same time, demographically more monitoring is required due to aging. eHealth can offer a solution to this problem. Three German and three Dutch hospitals will remotely monitor blood pressure of 150 women with high risk of hypertension due to prior preeclampsia (or HELLP syndrome). Because of different manners of organizing healthcare in Germany and the Netherlands, cost effectiveness of this solution might be different for both countries.

The challenge

 The Radboud University Nijmegen Medical Centre will be studying in the Netherlands and Germany to monitor blood pressure remotely in women who have had severe hypertension during pregnancy. This is to prevent and/or early treatment of cardiovascular disease in these women later in life.

The solution

The use of modern technology and patient self-management in the health sector is growing fast. It enables residents in the non-metropolitan areas and border regions to be actively involved with health and healthcare professionals. The study introduces a method of remote monitoring of blood pressure by woman with a high risk, up to 4 times more, for cardiovascular disease due to earlier preeclampsia (or HELLP syndrome). Although the risks are known, this group is currently not monitored. By early detection both improved treatment outcome and lower health costs must be feasible. The women will receive feedback from a healthcare professional based on their measurement. Since these are young women are at the heart of life, they are likely to be actively engaged in their risk management. This project aims specifically on a gender related issue; a woman-centered project like this is fairly unique.

What did we do?

150 women in the Arnhem-Nijmegen-Kleve-Moers region will receive home monitoring blood pressure devices. The researchers will evaluate their measurement and the women will receive feedback. 150 women in a control group will receive usual care. After 2 years the results will be compared, along with an evaluation of the use of the devices and experienced quality of life. The departments of cardiology and REshape Center are involved in the project.

The research is conducted within Radboud University Nijmegen Medical Centre Nijmegen, Rijnstate Hospital, Arnhem, Nijmegen CZW, St. Josef Krankenhaus GmbH, Moers; Bethanien Krankenhaus, Moers; St. Antonius Hospital, Kleve.

 Cardiovascular diseases are the leading causes of death among women in Western society. Research has shown that women who have had a pregnancy during a severe high blood pressure (so-called. Preeclampsia / HELLP syndrome or eclampsia), have a higher risk of developing high blood pressure and cardiovascular disease. Early detection of risk factors is an important method to prevent the development of atherosclerosis as a result of cardiovascular disease.

Prof. Dr. Angela Maas
Prof. Dr. Angela MaasProfessor Women's Cardiac Health
“Medical care is often – wrongly – tailored to the male model. But men and women are different. It is important to be aware of these differences. If you learn to look at these differences, you are going too see more.”