Hypertensive Disease of Pregnancy Raises Risk for Adult Mortality

Many studies have reported links between preeclampsia and excess risk for subsequent cardiovascular disease (CVD), but does this association apply more broadly to hypertensive disease of pregnancy? In a study of some 2 million pregnancies in Utah between 1939 and 2012, 60,580 women with hypertensive disease of pregnancy were identified (those with known disease subtypes included 50.8% with gestational hypertension, 46.0% with preeclampsia, 1.8% with eclampsia and 1.4% with hemolysis, elevated liver enzymes, and low platelet count [HELLP] syndrome) and matched by year of delivery, parity, and age with 123,140 women without hypertensive disease of pregnancy. Hazard ratios (HRs) were adjusted for factors such as gestational age at delivery, ma…