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The long‐term cardiovascular impact of hypertension in pregnancy – A missed opportunity

Gregory K. Davis, Amanda Henry, Clare Arnott, Mark Brown

2021Australian and New Zealand Journal of Obstetrics and Gynaecology17 citationsDOIOpen Access PDF

Abstract

Women who have had hypertension in pregnancy, both pre-eclampsia and gestational hypertension, have a two- to three-fold increased risk of cardiovascular disease later in life. It is unclear whether this is an unmasking of latent risk, the result of damage to the vascular tree during pregnancy, or both. Irrespective of the underlying pathophysiology, these women are uniquely identified sufficiently early in their lives for lifestyle interventions, if adopted, to improve their long-term health. Currently, follow-up of these women is inadequate and implementation of a coordinated follow-up program, and further research into how best to provide it, is urgently needed.

Topics & Concepts

MedicinePregnancyGestational hypertensionPsychological interventionDiseasePreeclampsiaEclampsiaHypertension in PregnancyChronic hypertensionIntensive care medicineObstetricsPediatricsInternal medicinePsychiatryBiologyGeneticsPregnancy and preeclampsia studiesBirth, Development, and HealthCancer Risks and Factors
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