Hypertensive Disorders of Pregnancy: Closer Look at Long-Term Cardiovascular Risk

Clinical Takeaway

: All HDPs — but particularly preeclampsia — are associated with increased maternal long-term cardiovascular risk.

Context

Five different hypertensive disorders can occur during pregnancy (HDP), and all are associated with an increased long-term risk of cardiovascular disease: chronic hypertension, gestational hypertension, superimposed preeclampsia, preeclampsia/eclampsia, and unspecified hypertension. To understand the risk with each subtype, researchers conducted a retrospective cohort study using South Korean National Health Insurance Service data to determine the risk of cardiovascular death, heart failure, myocardial infarction, stroke, and atrial fibrillation for women who gave birth from 2010 to 2018.

Key Results

Among 570,843 women (mean age, 32.7 years), 4.0% had HDPs, of whom 35% had gestational hypertension, 32% had preeclampsia or eclampsia, 1…

Reviewing Author

Karol E. Watson, M.D., Ph.D., F.A.C.C.

Disclosures

Consultant/Advisory BoardBoehringer Ingelheim; Amgen; Novartis; Lilly; Amarin

Speaker’s BureauBoehringer Ingelheim

Grant/Research SupportNIH

Editorial BoardsCirculation (Associate Editor)