Women's heart centres: a clinical consensus statement of the European Association of Cardiovascular Imaging (EACVI), the European Association of Percutaneous Cardiovascular Interventions (EAPCI), the Heart Failure Association (HFA), and the Association for Acute CardioVascular Care (ACVC) of the ESC

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ID: 314978
2026
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Abstract
Abstract Cardiovascular disease is the leading cause of death in women, yet significant disparities persist in diagnosis, treatment, and research representation. This clinical consensus statement outlines the rationale and framework for establishing women's heart centres (WHCs) in Europe. Women's heart centres are proposed as hub-and-spoke reference networks embedded within existing cardiovascular systems, delivering multidisciplinary, sex-sensitive care across the life course. The document defines referral pathways, operational standards, and core and advanced training competencies in women's cardiovascular health. Key domains include ischaemia/myocardial infarction with non-obstructive coronary arteries, cardio-obstetrics, cardio-oncology, autoimmune disease, mental health, and cardiac rehabilitation. Implementation strategies emphasize scalable models, integration with primary care, telemedicine, quality improvement, and research engagement. Although long-term outcome data remain limited, available evidence suggests improved diagnostic precision, risk factor control, and patient-reported outcomes. Establishing WHC offers a structured approach to reduce inequities and strengthen cardiovascular care for women across Europe.
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Authors Julia Grapsa, A Bugalho De Almeida, Antonia Sambola, Cristiana Vitale, Yolande Appelman, Bharati Shivalkar, Lisa Anderson, Daniela Trabattoni, Rafael Vidal Perez, Amina Rakisheva, Marta Kałużna - Oleksy, Sigrun Halvorsen, Sofie Gevaert, M Adamo, S Price, Alessia Gimelli, Bernard Cosyns, Victoria Delgado, Alaide Chieffo, Brenda Moura, L J Shaw, Mirvat Alasnag, Roxana Mehran, Sharon L. Mulvagh, M A M A S Mamas, Martha Gulati
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Journal european heart journal
Year 2026
DOI
10.1093/eurheartj/ehag350
URL
https://doi.org/10.1093/eurheartj/ehag350
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