{
  "abstract": "Background Cardiovascular disease (CVD) is the leading cause of death in women, with over 3.6 million women in the UK living with heart disease. 1 Traditional risk factors such as smoking, hypertension and diabetes confer a greater relative risk in women than in men.2 Women-specific factors, including adverse pregnancy outcomes, premature menopause and hormonal therapy, are independently associated with future CVD risk.3 Although international and national guidance recommends assessment of these factors, their capture in routine outpatient cardiology documentation remains uncertain.4 5Purpose To quantify the frequency with which traditional and women-specific cardiovascular risk factors are documented in female patients presenting with chest pain to outpatient cardiology clinics.Methods A retrospective electronic health record review was conducted at a UK tertiary cardiology centre. Women reviewed for chest pain between August 2020 and January 2026 were included. Clinic letters were reviewed for the presence of documented traditional risk factors and women-specific risk factors, defined as documentation of: (i) pregnancy history (any documented reproductive history or pregnancy outcomes), (ii) menopausal status, and (iii) use of exogenous hormones (HRT or hormonal contraception). Proportions of patients with risk factors assessed in the physician and nurse-led clinics were compared using two-sided Fisher’s exact tests.Results A total of 164 women were reviewed: 138 (84.1%) in the nurse-led rapid access clinic and 26 (15.9%) in physician-led clinics. Traditional and women-specific risk factors were assessed as shown in table 1 and figure 1.Traditional risk factor documentation was common overall: hypertension 143(87.2%), hypercholesterolaemia 104(63.4%), diabetes 42(20.6%), family history 79(48.2%) and smoking 73(44.5%). Documentation of several traditional risk factors was higher in the nurse-led clinic compared with physician-led clinics: hypertension 89.9% vs 73.1%(p=0.048), hypercholesterolaemia 69.6% vs 30.8%(p=0.0003), and family history 54.4% vs 15.4%(p=0.0002). Smoking documentation also trended higher in nurse-led clinics(47.8% vs 26.9%; p=0.055). Women-specific factors were rarely documented: pregnancy history 0.6%(0.7% vs 0.0%), menopausal status 0% in both settings, and hormone therapy 7.9%(7.3% vs 11.5%; p=0.44).Conclusion Women-specific cardiovascular risk factors were infrequently documented in women presenting with chest pain compared with traditional risk factors, despite guideline recommendations. Higher documentation of several traditional risk factors in nurse-led clinics suggests structured processes/templates may improve capture; however, women-specific factors remained largely undocumented in both clinic models. Targeted clinician education and EHR proformas incorporating women-specific risk factors may improve comprehensive, sex-specific cardiovascular risk assessment, with planned re-audit to evaluate impact.Abstract 409 Figure 1",
  "authors": [
    {
      "affiliations": [
        "Oxford University, Oxford, United Kingdom"
      ],
      "name": "Emily Morris"
    },
    {
      "affiliations": [
        "Oxford University NHS Foundation Trust, Oxford, United Kingdom"
      ],
      "name": "James Gamble"
    },
    {
      "affiliations": [
        "Oxford University NHS Foundation Trust, Oxford, United Kingdom"
      ],
      "name": "Elizabeth Orchard"
    },
    {
      "affiliations": [
        "Oxford University NHS Foundation Trust, Oxford, United Kingdom"
      ],
      "name": "Julian Ormerod"
    },
    {
      "affiliations": [
        "Oxford University NHS Foundation Trust, Oxford, United Kingdom"
      ],
      "name": "Tracey Keteepe-Arachi"
    }
  ],
  "title": "409 Women-specific cardiovascular risk factor documentation in outpatient chest pain clinics: a retrospective electronic health record review",
  "uid": "8dd02a06-2fc9-561b-b84d-7071ff5b2fdb"
}