FOR CLINICIANS · REVIEWERS · PILOT PARTNERS
HEART RESERVE is seeking correction, clinical guidance, and careful pilot design. This is not a request for endorsement. Begin with one exact question, one tool, or one workflow.
Three layers · kept separate
Recognized adverse pregnancy outcomes are associated with later cardiovascular risk. Midlife and menopause are important times to revisit blood pressure, lipids, glucose, symptoms, family history, function, and prevention in the individual clinical context.
HISTORY, FLOW, BEAT, PUMP, and POWER organize different parts of a woman's cardiovascular story. The checks and worksheets help a person prepare for care; they do not calculate risk or direct care.
ASK · RECORD · RESPOND is a quality-improvement concept for asking pregnancy history, preserving it in a durable longitudinal record, and considering it alongside current symptoms and established risk factors. It requires clinical, workflow, privacy, equity, and statistical review before pilot use.
The boundary
Choose a contribution
No open-ended advisory role is assumed. Choose the lane that matches your expertise; Lisa will send a focused draft, its current sources, and the exact questions that need an answer.
Review one defined passage, tool, or clinical distinction for accuracy, missing context, and appropriate boundaries.
Choose this review lanePressure-test ASK · RECORD · RESPOND against real visit flow, durable EHR documentation, and retrieval across time.
Choose this review laneReview clarity, burden, trauma-aware language, access, and where the tool may fail women or widen gaps.
Choose this review laneStrengthen eligibility, privacy, feasibility measures, analysis, and the decision rules required before any scale-up.
Choose this review laneWhat reviewers receive
A page, passage, question set, or workflow—not the entire platform unless mutually agreed.
Current source notes plus a clear distinction between established guidance, Lisa's synthesis, and open questions.
Accuracy, omissions, unintended implications, usable wording, feasibility, and reasons to stop or revise.
Corrections may be uncredited. A name, title, affiliation, quotation, or logo appears only after written approval of the exact use.
Review the live experience
Printable review brief
Print this page or save it as a PDF to share the proposed review scope accurately.
Prepared by Lisa Zahakos, PA-C
HEART RESERVE is an independent women's cardiovascular-health education project. It connects pregnancy and reproductive history, menopause, established risk factors, symptoms, testing, and physical capacity across time.
Two separate patient-held tools help a woman organize pregnancy history and her current midlife heart-health picture. They do not submit or store answers, produce a score, diagnose, recommend testing, or replace individualized care.
ASK · RECORD · RESPOND is a proposed quality-improvement workflow: ask a brief pregnancy history, preserve what is known in a durable searchable record, and respond proportionately alongside current symptoms and established risk factors.
One supervised site with roughly 100–200 eligible visits could test whether the history is asked, recorded in a usable place, and followed by an appropriate documented response. Measures would address implementation—not promised health outcomes. Final design requires clinical, privacy, workflow, equity, informatics, and statistical review.
A precise first step
Please include your role or specialty and the review lane that fits. Do not send patient records or personal health information.