Sarah M Birkhoelzer1, Francis J E Gardner2, Rebecca F Ortega3, Roxana Mehran4. 1. Cardiology, Portsmouth Hospitals University NHS Trust, Portsmouth, UK Sarah.birkhoelzer@gmail.com. 2. Gynaecology, Portsmouth Hospitals University NHS Trust, Portsmouth, UK. 3. Women as One, Charlotte, North Carolina, USA. 4. Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.