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Long-Term Cardiovascular Disease Risk in Women After Hypertensive Disorders of Pregnancy: Recent Advances in Hypertension

Hypertension (Dallas, Tex. 1979), 2021-10, Vol.78 (4), p.927-935 [Peer Reviewed Journal]

info:eu-repo/semantics/openAccess ;ISSN: 0194-911X ;EISSN: 1524-4563 ;DOI: 10.1161/HYPERTENSIONAHA.121.16506 ;PMID: 34397272

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  • Title:
    Long-Term Cardiovascular Disease Risk in Women After Hypertensive Disorders of Pregnancy: Recent Advances in Hypertension
  • Author: Khosla, Kavia ; Heimberger, Sarah ; Nieman, Kristin M ; Tung, Avery ; Shahul, Sajid ; Staff, Anne Cathrine ; Rana, Sarosh
  • Subjects: Cardiovascular Diseases - ethnology ; Cardiovascular Diseases - etiology ; Evidence-Based Practice ; Female ; Health Status Disparities ; Humans ; Hypertension, Pregnancy-Induced - ethnology ; Hypertension, Pregnancy-Induced - physiopathology ; Postnatal Care ; Pregnancy
  • Is Part Of: Hypertension (Dallas, Tex. 1979), 2021-10, Vol.78 (4), p.927-935
  • Description: Patients with a history of hypertensive disorders of pregnancy (HDP) suffer higher rates of long-term cardiovascular events including heart failure, coronary artery disease, and stroke. Cardiovascular changes during pregnancy can act as a natural stress test, subsequently unmasking latent cardiovascular disease in the form of HDP. Because HDP now affect 10% of pregnancies in the United States, the American Heart Association has called for physicians who provide peripartum care to promote early identification and cardiovascular risk reduction. In this review, we discuss the epidemiology, pathophysiology, and outcomes of HDP-associated cardiovascular disease. In addition, we propose a multi-pronged approach to support cardiovascular risk reduction for women with a history of HDP. Additional research is warranted to define appropriate blood pressure targets in the postpartum period, optimize the use of pregnancy history in risk stratification tools, and clarify the effectiveness of preventive interventions. The highest rates of HDP are in populations with poor access to resources and quality health care, making it a major risk for inequity of care. Interventions to decrease long-term cardiovascular disease risk in women following HDP must also target disparity reduction.
  • Publisher: United States: American Heart Association
  • Language: English;Norwegian
  • Identifier: ISSN: 0194-911X
    EISSN: 1524-4563
    DOI: 10.1161/HYPERTENSIONAHA.121.16506
    PMID: 34397272
  • Source: GFMER Free Medical Journals
    MEDLINE
    NORA Norwegian Open Research Archives

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