Key result
Hypertensive disorders of pregnancy and preeclampsia are associated with increased cardiovascular risk later in life, identifying women who may benefit from earlier primary prevention.
Why the study?
Do hypertensive diseases of pregnancy and preeclampsia contribute to future cardiovascular risk in women?
Do hypertensive diseases of pregnancy and preeclampsia contribute to future cardiovascular risk in women?
Hypertensive disorders of pregnancy are important sex-specific risk factors that should be incorporated into long-term cardiovascular risk assessment in women to guide early primary prevention.
Supports including pregnancy history in women's CV risk assessment; leaves open whether early intervention alters long-term outcomes.
More women than men die each year of cardiovascular disease, which remains the leading cause of death in the United States. Sex-specific factors, including pregnancy-related disorders, should be considered when assessing cardiovascular (CV) risk in women. Hypertensive disorders of pregnancy have been associated with CV risk later in life and may identify women in whom earlier primary prevention may reduce their risk. This article reviews the physiologic changes in blood pressure during pregnancy, current definitions of hypertensive diseases of pregnancy and preeclampsia, and postulated pathophysiologic mechanisms leading to preeclampsia that might contribute to later CV risk. Also summarized are studies providing evidence on the association between hypertensive diseases of pregnancy and future CV risk.
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Valdiviezo et al. (2012) conducted a review in Hypertensive disorders of pregnancy and preeclampsia. Hypertensive disorders of pregnancy was evaluated on Cardiovascular risk later in life. Hypertensive disorders of pregnancy and preeclampsia are associated with increased cardiovascular risk later in life, identifying women who may benefit from earlier primary prevention.