Adverse pregnancy outcomes and future maternal cardiovascular disease

Cardiovascular disease (CVD) remains the leading cause of death in women. Although traditional risk factors increase later‐life CVD, pregnancy‐associated complications additionally influence future CVD risk in women. Recent guidelines for the prevention of CVD in women have added adverse pregnancy o...

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Published in:Clinical cardiology (Mahwah, N.J.) Vol. 41; no. 2; pp. 239 - 246
Main Authors: Hauspurg, Alisse, Ying, Wendy, Hubel, Carl A., Michos, Erin D., Ouyang, Pamela
Format: Journal Article
Language:English
Published: New York Wiley Periodicals, Inc 01.02.2018
John Wiley & Sons, Inc
Subjects:
Adverse Pregnancy Outcomes
Cardiovascular disease
Cardiovascular Risk
Diabetes
Female
Gestational Diabetes
Global Health
Health risk assessment
Humans
Incidence
Infant, Newborn
Preeclampsia
Pregnancy
Pregnancy complications
Pregnancy Complications, Cardiovascular - epidemiology
Pregnancy Outcome - epidemiology
Premature Birth - epidemiology
Premature Birth - etiology
Preterm Delivery
Review
Reviews
Risk Factors
Small for Gestational Age
Survival Rate - trends
Women
Womens health
Women
Cardiovascular Risk
Gestational Diabetes
Preeclampsia
Adverse Pregnancy Outcomes
Small for Gestational Age
Preterm Delivery
ISSN:0160-9289, 1932-8737, 1932-8737
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Summary:Cardiovascular disease (CVD) remains the leading cause of death in women. Although traditional risk factors increase later‐life CVD, pregnancy‐associated complications additionally influence future CVD risk in women. Recent guidelines for the prevention of CVD in women have added adverse pregnancy outcomes as major CVD risk factors. Studies have shown that women with a history of preeclampsia, gestational diabetes, preterm delivery, and delivery of a small‐for‐gestational‐age infant have an increased risk of developing cardiometabolic risk factors and subsequent CVD. A history of multiple adverse pregnancy outcomes further increases this risk. It has been suggested that these pregnancy complications may unmask preexisting elevated CVD risk; however, whether the pathophysiologic changes underlying these conditions directly result in long‐term cardiovascular damage is unclear. The purpose of this review was to highlight the associations between adverse pregnancy outcomes and future CVD, and to emphasize the importance of considering pregnancy history in assessing a woman's CVD risk. Targeted efforts to initiate screening and risk‐reduction strategies in women with prior history of pregnancy complications, particularly lifestyle modification, may help decrease the burden of CVD in women.
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Alisse Hauspurg, MD, and Wendy Ying, MD, contributed equally to this work.
Funding information This work was funded by the American Heart Association Go Red for Women Strategic Focused Research Network (contracts AHA 16SFRN27870000 and 16SFRN27810001).
ISSN:0160-9289
1932-8737
1932-8737
DOI:10.1002/clc.22887