Effect of an Intervention to Improve the Cardiovascular Health of Postpartum Women With a History of Hypertensive Disorders of Pregnancy

Abstract

with prior HDP were younger (46.4 +/-6.5 years) than the normal group (49.1 +/-5.6 years). Women with prior pregnancy complications were more likely to be obese (35.9% vs. 56.0%, p¼0.001), to have diabetes (37.9% vs. 14.4%, p<0.001) and chronic hypertension (80.0% vs. 42.3%, p<0.001). The clinical severity of ACS measured by the Grace score was similar in all 3 groups (72.7 vs. 69.1 vs. 69.6, p¼0.227 for all comparisons). The occurrence of MACE (8.5% vs. 8.9%, p¼0.919) was also similar in all groups, with the exception of recurrent ACS, which was more common in women with prior HDP than women with prior normal pregnancy (adjusted hazard ratio 3.21 +/-1,79 vs. 0.33 +/-0.21). The association appeared to be mediated by hypertension. CONCLUSION: Women with prior pregnancy complications have more CVD risk factors at the time of a premature ACS, and are younger at time of event than are women with prior normal pregnancy. Moreover, women with prior preeclampsia are more likely to experience a recurrent ACS at 12 months.

Nutrition Interventions for Lowering Cardiovascular Risk After Hypertensive Disorders of Pregnancy: A Systematic Review

“… 2 , 3 HDP is also associated with a high rate of accumulation of cardiometabolic multimorbidity (eg, hypertension, diabetes, dyslipidemia, and obesity) in the first 5 years after birth, often leading to premature CVD within approximately 10 years. 3 Importantly, many of these chronic diseases may be prevented through early health behaviour modifications, 4 yet there are major gaps in cardiovascular preventive care after HDP, resulting in an increased burden on women with HDP, their families, and health care systems.…”