Peripartum and Long-Term Maternal Cardiovascular Health After Preeclampsia

There is widespread acceptance of the increased prevalence of cardiovascular diseases occurring within 1 to 2 decades in women following a preeclamptic pregnancy. More recent evidence suggests that the deranged biochemical and echocardiographic findings in women do not resolve in the majority of pre...

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Published inHypertension (Dallas, Tex. 1979) Vol. 80; no. 2; pp. 231 - 241
Main Authors Giorgione, Veronica, Jansen, Gwyneth, Kitt, Jamie, Ghossein-Doha, Chahinda, Leeson, Paul, Thilaganathan, Basky
Format Journal Article
LanguageEnglish
Published United States 01.02.2023
Subjects
Cardiovascular Diseases - epidemiology
Female
Humans
Hypertension - epidemiology
Peripartum Period
Pre-Eclampsia - epidemiology
Pregnancy
blood pressure
pre-eclampsia
cardiovascular diseases
cardiovascular risk
hypertension
pregnancy
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Summary:There is widespread acceptance of the increased prevalence of cardiovascular diseases occurring within 1 to 2 decades in women following a preeclamptic pregnancy. More recent evidence suggests that the deranged biochemical and echocardiographic findings in women do not resolve in the majority of preeclamptic women following giving birth. Many women continue to be hypertensive in the immediate postnatal period with some exhibiting occult signs of cardiac dysfunction. There is now promising evidence that with close monitoring and effective control of blood pressure control in the immediate postnatal period, women may have persistently lower blood pressures many years after stopping their medication. This review highlights the evidence that delivering effective medical care in the fourth trimester of pregnancy can improve the long-term cardiovascular health after a preeclamptic birth.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ObjectType-Review-1
ISSN:0194-911X
1524-4563
DOI:10.1161/HYPERTENSIONAHA.122.18730