Key result
Chronic hypertension in pregnancy flags heightened lifetime cardiovascular risk, marking a key window for early prevention.
Why the study?
Chronic hypertension during pregnancy has nearly doubled over the past decade with persistent disparities, conferring increased maternal-fetal morbidity and higher lifetime cardiovascular risk.
Identifying and managing chronic hypertension during pregnancy provides a critical opportunity to mitigate long-term cardiovascular disease risk in birthing individuals.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to monitor long-term CVD risk post-hypertensive pregnancy; leaves open efficacy of peripartum interventions.
Hypertension is a major, modifiable risk factor for cardiovascular disease (CVD) in the United States. Over the past decade, the prevalence of chronic hypertension (CHTN) during pregnancy has nearly doubled with persistent race- and place-based disparities. Blood pressure elevations are of particular concern during pregnancy given higher risk of maternal and fetal morbidity and mortality, as well as higher lifetime risk of CVD in birthing individuals with CHTN. When identified during pregnancy, CHTN can, therefore, serve as a lens into CVD risk, as well as a modifiable target to mitigate cardiovascular risk throughout the life course. Health services and public health interventions that equitably promote cardiovascular health during the peripartum period could have an important impact on preventing CHTN and reducing lifetime risk of CVD. This review will summarize the epidemiology and guidelines for the diagnosis and management of CHTN in pregnancy; describe the current evidence for associations between CHTN, adverse pregnancy outcomes, and CVD; and identify opportunities for peripartum care to equitably reduce hypertension and CVD risk throughout the life course.
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Cameron et al. (2023) conducted a review in Chronic hypertension in pregnancy. Chronic hypertension in pregnancy was evaluated. Chronic hypertension in pregnancy serves as a critical indicator of elevated lifetime cardiovascular disease risk and represents a modifiable target for early preventive peripartum interventions.
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