Breaking News
December 17, 2018 - Will saliva translate to a real diagnostic tool?
December 17, 2018 - DFG establishes nine new Research Units and one new Clinical Research Unit
December 17, 2018 - Assisted living’s breakneck growth leaves patient safety behind
December 17, 2018 - America’s teens report dramatic increase in their use of vaping devices in just one year
December 17, 2018 - Enlarged heart linked to a higher risk of dementia
December 17, 2018 - Prostate cancer detection using MRI now first-line investigation tool
December 17, 2018 - Adolescents who use cognitive reappraisal had better metabolic measures, shows study
December 17, 2018 - Probiotics may offer therapeutic benefits for biopolar patients
December 17, 2018 - Stealth BioTherapeutics Granted Fast Track Designation for Elamipretide for the Treatment of Dry Age-Related Macular Degeneration with Geographic Atrophy
December 17, 2018 - Studies reveal role of red meat in gut bacteria, heart disease development
December 17, 2018 - Eisai enters into agreement with Eurofarma for its anti-obesity agent lorcaserin
December 17, 2018 - Researchers use brain connectome to reassess neuroimaging findings of Alzheimer’s disease
December 17, 2018 - “Miracle” baby survives Ebola in Congo and rapid a new Ebola detection device
December 17, 2018 - Mechanisms behind neonatal diabetes uncovered
December 17, 2018 - AHF urges the WHO to expedite approval process for vaccine effective against Ebola
December 17, 2018 - Study finds misuse of benzodiazepines to be highest among young adults
December 17, 2018 - TGen receives PayPal grant to underwrite costs of genetic tests for children with rare disorders
December 17, 2018 - New research highlights why HIV-infected patients suffer higher rates of cancer
December 17, 2018 - Antibiotic-resistant bacteria could soon be targeted with Alzheimer’s drug
December 17, 2018 - Rutgers scientists take an important step in making diseased hearts heal themselves
December 17, 2018 - Tailored Feedback at CRC Screen Improves Lifestyle Behaviors
December 17, 2018 - Loss of two genes drives a deadly form of colorectal cancer, reveals a potential treatment
December 17, 2018 - How the Mediterranean Diet Can Help Women’s Hearts
December 17, 2018 - Sustained connections associated with symptoms of autism
December 17, 2018 - Concussion rates among young football players were higher than previously reported
December 17, 2018 - Cresco Labs granted approval to operate marijuana dispensary in Ohio
December 17, 2018 - Study provides insight into health risks facing new mothers
December 17, 2018 - AMSBIO expands Wnt signaling pathway product range to aid research
December 16, 2018 - Surgical treatment unnecessary for many prostate cancer patients
December 16, 2018 - Excess weight responsible for cancers globally finds report
December 16, 2018 - Regular sex associated with greater enjoyment of life in seniors
December 16, 2018 - Social stigma contributes to poor mental health in the autistic community
December 16, 2018 - Multidisciplinary team successfully performs complex surgery on patient suffering from enlarged skull
December 16, 2018 - Experts analyze data that can guide antidepressant discontinuation
December 16, 2018 - Menlo Therapeutics’ Successful Phase 2 Clinical Trial of Serlopitant Demonstrates Reduction of Pruritus Associated with Psoriasis
December 16, 2018 - Siblings of children with autism or ADHD are at elevated risk for both disorders
December 16, 2018 - New project aims to understand why and how metabolic disorders develop in patients
December 16, 2018 - Diets containing GM maize have no harmful effects on health or metabolism of rats
December 16, 2018 - Are doctors and teachers confusing immaturity and attention deficit?
December 16, 2018 - Hearing loss linked with increased risk for premature death
December 16, 2018 - Chromatrap buffer reagents for lysing cells offer many benefits
December 16, 2018 - Young Breast Cancer Patients Face Higher Risk for Osteoporosis
December 16, 2018 - 3-D printing offers helping hand to people with arthritis
December 16, 2018 - Community Health Choice helps manage complex and chronic care conditions
December 16, 2018 - Regular trips out could dramatically reduce depression in older age
December 16, 2018 - CWRU to use VivaLNK’s Vital Scout device for stress study in student athletes
December 16, 2018 - ‘Easy Way Out’? Stigma May Keep Many From Weight Loss Surgery
December 16, 2018 - Gout drug may protect against chronic kidney disease
December 16, 2018 - Talking about memories enhances the wellbeing of older and younger people
December 16, 2018 - Occupational exposure to pesticides increases risk for cardiovascular disease among Latinos
December 16, 2018 - A biomarker in the brain’s circulation system may be Alzheimer’s earliest warning
December 16, 2018 - Magnesium may play important role in optimizing vitamin D levels, study shows
December 16, 2018 - The effect of probiotics on intestinal flora of premature babies
December 16, 2018 - Parents spend more time talking with kids about mechanics of using mobile devices
December 16, 2018 - Biohaven Announces Positive Results from Ongoing Rimegepant Long-Term Safety Study
December 16, 2018 - Arterial stiffness may predict dementia risk
December 16, 2018 - Study explores link between work stress and increased cancer risk
December 16, 2018 - Sex work criminalization linked to incidences of violence finds study
December 16, 2018 - Johns Hopkins researchers discover swarming behavior in fish-dwelling parasite
December 16, 2018 - Schistosomiasis prevention and treatment could help control HIV
December 16, 2018 - Early postpartum opioids linked with persistent usage
December 16, 2018 - Johns Hopkins researchers identify molecular causes of necrotizing enterocolitis in preemies
December 16, 2018 - Advanced illumination expands capabilities of light-sheet microscopy
December 16, 2018 - Alzheimer’s could possibly be spread via contaminated neurosurgery
December 16, 2018 - Unraveling the complexity of cancer biology can prompt new avenues for drug development
December 16, 2018 - Inflammatory Bowel Disease, Prostate Cancer Linked
December 16, 2018 - Cannabis youth prevention strategy should target mental wellbeing
December 15, 2018 - Recent developments and challenges in hMAT inhibitors
December 15, 2018 - Sewage bacteria found lurking in Hudson River sediments
December 15, 2018 - CDC selects UMass Amherst biostatistician model that helps predict influenza outbreaks
December 15, 2018 - Researchers reveal brain mechanism that drives itch-evoked scratching behavior
December 15, 2018 - New computer model helps predict course of the disease in prostate cancer patients
December 15, 2018 - Obesity to Blame for Almost 1 in 25 Cancers Worldwide
December 15, 2018 - How the brain tells you to scratch that itch
December 15, 2018 - New findings could help develop new immunotherapies against cancer
December 15, 2018 - World’s largest AI-powered medical research network launched by OWKIN
December 15, 2018 - Young people suffering chronic pain battle isolation and stigma as they struggle to forge their identities
December 15, 2018 - Lifespan extension at low temperatures depends on individual’s genes, study shows
December 15, 2018 - New ingestible capsule can be controlled using Bluetooth wireless technology
December 15, 2018 - Researchers uncover microRNAs involved in the control of social behavior
Marked increase in cardiovascular risk factors in women after preeclampsia

Marked increase in cardiovascular risk factors in women after preeclampsia

image_pdfDownload PDFimage_print

Women diagnosed with preeclampsia during pregnancy were significantly more likely to develop high blood pressure, diabetes or high cholesterol within five years compared with women who did not have preeclampsia, in a study being presented at the American College of Cardiology’s 67th Annual Scientific Session.

The study is among the first to track outcomes following a diagnosis of preeclampsia and bolsters the evidence that preeclampsia contributes to cardiovascular risk factors that were not present before pregnancy. The study, which followed women for five years, also found few women received medical follow-up aimed at preventing cardiovascular problems after preeclampsia.

Preeclampsia is a dangerous condition in which a pregnant woman develops high blood pressure and protein in the urine. Delivering the baby is the only known cure. Symptoms typically resolve within six weeks after delivery, contributing to a perception among care providers and patients that further medical monitoring is unnecessary.

However, previous studies have found women who had preeclampsia during pregnancy face a substantially higher risk of coronary heart disease, stroke and heart failure later in life. These new findings indicate signs of heart disease risk can often emerge in the first few years after a woman experiences preeclampsia. “As providers, we’re missing the boat if we’re not adequately following up with these patients on their cardiovascular risk factors,” said Karlee Hoffman, DO, cardiology fellow at Allegheny Health Network and the study’s lead author. “Women are highly motivated to take care of themselves when they are pregnant and after they deliver their babies, so it’s a great time to educate them on long-term cardiovascular risks and potentially intervene with aggressive lifestyle modification.”

Preeclampsia occurs in up to 7 percent of all pregnancies. However, it appears to be on the rise, potentially due to an increase in the number of women becoming pregnant after age 35.

Researchers analyzed the health records of more than 650 women treated at Allegheny Health Network between 2009 and 2015. Half had been diagnosed with preeclampsia and half were women of a similar age and racial makeup who had never had a preeclampsia diagnosis (controls). Five years of follow-up health information was available for just over 250 of the women diagnosed with preeclampsia.

Around the time of their delivery, those with preeclampsia had a higher rate of obesity, preterm delivery, babies with low birth weight and post-delivery complications. Over the following five years, those with preeclampsia were more likely to develop high blood pressure (which occurred in 32.8 percent of women with preeclampsia and 0.3 percent of controls), new-onset diabetes (which occurred in 21 percent of women with preeclampsia and zero among controls) and high cholesterol (which occurred in 3 percent of women with preeclampsia and zero among controls).

Of those who had follow-up with a primary care physician after a diagnosis of preeclampsia, only one patient’s chart noted the doctor was aware of the preeclampsia diagnosis and mentioned long-term follow-up with regard to cardiovascular disease.

“The incidence of preeclampsia is relatively high and so is the risk of having a subsequent diagnosis of these cardiovascular risk factors,” Hoffman said. “We need to work with our obstetrics and gynecology colleagues to capture these patients and refer them to a primary care doctor or a cardiologist for more rigorous follow-up to help prevent future cardiovascular disease.”

“The results also showed that African-American women, women who were older at the time of their pregnancy and women with a prior history of high blood pressure or diabetes faced an especially elevated risk of high blood pressure following preeclampsia, suggesting women with these risk factors should receive even more rigorous medical follow-up,” Hoffman said.

Although the exact causes are unknown, it is thought that oxidative stress, which results from having too much of the unstable form of oxygen in the body, could play a role in the cardiovascular effects seen after preeclampsia. Oxidative stress has been linked with the physiological changes that contribute to coronary artery disease. To further elucidate the connections between preeclampsia and heart disease, researchers are planning a study that will use echocardiography and noninvasive pulse wave velocity to investigate heart health after preeclampsia.


Explore further:
Rise in use of antihypertensives in delivery with preeclampsia

Provided by:
American College of Cardiology

Tagged with:

About author

Related Articles