Hypertensive Disorders of Pregnancy and Maternal Cardiovascular Disease Risk Factor Development

Stuart, Jennifer; Tanz, Lauren J.; Missmer, Stacey A.; Rimm, Eric B.; Spiegelman, Donna; James‐Todd, Tamarra; Rich‐Edwards, Janet W.

doi:10.7326/m17-2740

Cited by 215 publications

(164 citation statements)

References 47 publications

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“…Thus, we cannot rule out that Sister Study participants may differ in terms of preeclampsia risk (and, possibly, risk factors) from the general population. However, as previously noted, the prevalence of preeclampsia in this study is similar to that in another cohort that was not selected based on breast cancer risk …”

Section: Commentsupporting

confidence: 87%

“…The main limitation of this study is that all information was self‐reported. However, the overall prevalence of preeclampsia in this study (6.2%) was very close to the 6.3% reported for primiparous participants in the Nurses’ Health Study who had given birth between 1964 and 2008 . In our study, 83% of the births occurred in this same period, and 17% between 1947 and 1963.…”

Section: Commentsupporting

confidence: 79%

“…However, the overall prevalence of preeclampsia in this study (6.2%) was very close to the 6.3% reported for primiparous participants in the Nurses' Health Study who had given birth between 1964 and 2008. 5 In our study, 83% of the births occurred in this same period, and 17% between 1947 and 1963. Furthermore, multiples, stillbirths, and preterm births were, as expected, more common in preeclamptic pregnancies; preeclampsia was associated with age at menarche 21 and childhood overweight 9 in the expected direction, as well as with a lower probability of having subsequent children.…”

Section: Limitations Of the Datasupporting

confidence: 51%

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Mother’s age at delivery and daughters’ risk of preeclampsia

Basso

Weinberg

D’Aloisio

et al. 2019

Paediatric Perinatal Epid

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Background Some cardiovascular disease risk factors are associated with both risk of preeclampsia and having been born to a younger or older mother. We examined whether mother's age at delivery predicts a primiparous daughter's risk of preeclampsia. Methods The analysis included 39 803 Sister Study participants (designated as “daughters”) born between 1930 and 1974. Using log‐binomial regression, we estimated relative risks (RR) of preeclampsia in the first pregnancy ending in birth (“primiparous preeclampsia”) associated with mother's age at the daughter’s birth. Models included: number of older full and maternal half‐siblings, income level growing up, daughter's age at delivery, race/ethnicity, and 5‐year birth cohort. We examined self‐reported relative weight at age 10 (heavier than peers versus not) as a potential effect measure modifier. Results Overall, 6.2% of daughters reported preeclampsia. Compared with those who had been born to 20‐24‐year old mothers, daughters of teenage mothers had a relative risk of 1.20 (95% confidence interval (CI) 1.01, 1.43) and daughters of mothers ≥25 had a ~10% lower risk. Relative weight at age 10 modified the association, with an inverse association between mother's age at delivery and preeclampsia seen only among daughters with low/normal childhood relative weight. In this subset, results were consistent across strata of daughter's age at menarche and age at first birth. Conclusions These findings, based on self‐reported data, require replication. Nevertheless, as women increasingly delay childbearing, they provide some reassurance that having been born to an older mother is not, per se, a risk factor for primiparous preeclampsia.

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Section: Commentsupporting

confidence: 87%

Section: Commentsupporting

confidence: 79%

Section: Limitations Of the Datasupporting

confidence: 51%

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Mother’s age at delivery and daughters’ risk of preeclampsia

Basso

Weinberg

D’Aloisio

et al. 2019

Paediatric Perinatal Epid

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“…It was shown that women with a history of pregnancy-induced hypertensive disorder had a higher risk of HT than in women with no history of pregnancyinduced HT or PE. An analysis of the Nurses' Health Study II showed that women with a history of pregnancy-induced HT or PE have a higher risk of HT The risk was the highest in the first 5 years after delivery [218]. It should be emphasized that the association between PE and pregnancy-induced HT and subsequent HT can be seen as early as in the first months following delivery.…”

Section: The Risk Of Hypertension In Women With a History Of Gestatiomentioning

confidence: 99%

Management of hypertension in pregnancy — prevention, diagnosis, treatment and long-term prognosis. A position statement of the Polish Society of Hypertension, Polish Cardiac Society and Polish Society of Gynaecologists and Obstetricians

Prejbisz¹,

Dobrowolski²,

Kosiński³

et al. 2019

Arterial Hypertension

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Disclaimer: The position statement represent the views of the authors and were produced after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The authors and societies are not responsible in the event of any contradiction, discrepancy, and/or ambiguity between the position statement and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of healthcare or therapeutic strategies. Health professionals are encouraged to take the position statement fully into account when exercising their clinical judgment as well as in the determination and the implementation of preventive, diagnostic, or therapeutic medical strategies. 118 www.ah.viamedica.pl ABPM -ambulatory blood pressure monitoring ACE-I -angiotensin-converting enzyme inhibitor AF -atrial fibrillation AFI -amniotic fluid index AFL -atrial flutter AGA -appropriate for gestational age AHI -apnea hypopnea index AKI -acute kidney injury ALT -alanine transaminase ARB -angiotensin receptor blocker ARR -aldosterone-to-renin ratio AST -aspartate aminotransferase AT -atrial tachycardia BAV -bicuspid aortic valve BMI -body mass index BNP -B-nariuretic peptide BP -blood pressure Bpm -beats per minute BPP -biophysical profile CABG -coronary artery bypass graft CAD -coronary artery disease CKD -chronic kidney disease CNS -central nervous system CoA -coarctation of the aorta CPAP -continuous positive airway pressure CPR -cerebroplacental ratio CTG -cardiotocography CV -cardiovascular DBP -diastolic blood pressure DIC -disseminated intravascular coagulation DM -diabetes mellitus ECMO -extracorporeal membrane oxygenation ECG -electrocardiography EF -ejection fraction ESC -European Society of Cardiology ESH -European Society of Hypertension EVA -early vascular ageing FDA -Food and Drug Administration FHR -foetal heart rate FIGO -International Federation of Gynaecology and Obstetrics FMD -fibromuscular dysplasia FMF -Fetal Medicine Foundation FPS -frame per second GFR -glomerular filtration rate HELLP -hemolysis, elevated liver enzymes, low platelet countuterine growth restriction IVF -in vitro fertilisation LBBB -left bundle branch block LBW -low birth weight LDH -lactate dehydrogenase LQTS -long QT syndrome LVAD -left ventricular assist device LVEF -left ventricular ejection fraction MAP -mean arterial pressure MCA -middle cerebral artery MCS -mechanical circulatory support MDT -multidisciplinary team MRA -mineralocorticoids renceptor antagonist MRAs -mineralocorticoids renceptor antagonists MRI -magnetic resonance imaging NSTEMI -non-ST elevation myocardial infarction NT-BNP -N-terminal pro-BNP NTS -non-stress-test OGTT -oral glucose tolerance test OSA -obstructive sleep apnoea p.o. -per os PA -primary aldosteronism PAPP-A -pregnancy associated placental protein PCI -percutaneous coronary intervention PE -pre-eclampsia PI -pulsatility index PlGF -placental growth factor PPCM -peripartum cardiomyopathy PPGL -pheochromocytoma a...

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“…H ypertensive disorders of pregnancy (HDP) complicate 10% to 15% of all pregnancies and are a major cause of maternal morbidity and mortality worldwide, both surrounding pregnancy and across the life course. [1][2][3][4] The American Heart Association recognizes history of HDP as an established risk factor for cardiovascular disease (CVD) in women. 5 Compared with women with a history of normotension in pregnancy, women with a history of HDP have approximately twice the risk of CVD, more than twice the risk of chronic hypertension, a 70% higher risk of type 2 diabetes, and a 30% higher risk of hypercholesterolemia.…”

mentioning

confidence: 99%

Hypertensive Disorders of Pregnancy and Maternal Cardiovascular Disease Risk Factor Development

Abstract: National Institutes of Health.

Cited by 215 publications

References 47 publications

Mother’s age at delivery and daughters’ risk of preeclampsia

Mother’s age at delivery and daughters’ risk of preeclampsia

Management of hypertension in pregnancy — prevention, diagnosis, treatment and long-term prognosis. A position statement of the Polish Society of Hypertension, Polish Cardiac Society and Polish Society of Gynaecologists and Obstetricians

Identifying Women With a History of a Hypertensive Disorder of Pregnancy: Values, Challenges, and Opportunities

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