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Type: Journal article
Title: Cardiovascular risk factors in women who had hypertensive disorders late in pregnancy: a cohort study
Author: Hermes, W.
Franx, A.
van Pampus, M.
Bloemenkamp, K.
Bots, M.
van der Post, J.
Porath, M.
Ponjee, G.
Tamsma, J.
Mol, B.
de Groot, C.
Citation: American Journal of Obstetrics and Gynecology, 2013; 208(6):474.e1-474.e8
Publisher: Elsevier
Issue Date: 2013
ISSN: 0002-9378
Statement of
Wietske Hermes, Arie Franx, Maria G. van Pampus, Kitty W. M. Bloemenkamp, Michiel L. Bots, Joris A. van der Post, Martina Porath, Gabrielle A. E. Ponjee, Jouke T. Tamsma, Ben Willem J. Mol, Christianne J. M. de Groot
Abstract: OBJECTIVE: The purpose of this study was to determine cardiovascular risk factors in women with a history of hypertensive pregnancy disorders at term (HTP) 2.5 years after pregnancy. STUDY DESIGN: In a multicenter cohort study in The Netherlands from June 2008 through November 2010, cardiovascular risk factors were compared between women with a history of HTP (HTP cohort, n = 306) and women with a history of normotensive pregnancies at term (NTP cohort, n = 99). HTP women had participated in a randomized, longitudinal trial assessing the effectiveness of induction of labor in women with hypertensive pregnancy disorders at term. All women were assessed 2.5 years after pregnancy for blood pressure, anthropometrics, glucose, glycosylated hemoglobin, insulin, homeostatic model assessment score, total cholesterol, high-density lipoprotein cholesterol, triglycerides, high-sensitivity C-reactive protein, and microalbumin and metabolic syndrome. RESULTS: After a mean follow-up period of 2.5 years, hypertension (HTP, 34%; NTP, 1%; P < .001) and metabolic syndrome (HTP, 25%; NTP, 5%; P < .001) were more prevalent in HTP women compared with NTP women. HTP women had significantly higher systolic and diastolic blood pressure, higher body mass index, and higher waist circumference. Glucose, glycosylated hemoglobin, insulin, homeostatic model assessment score, total cholesterol, triglycerides, and high-sensitivity C-reactive protein levels were significantly higher and high-density lipoprotein cholesterol was significantly lower in HTP women. CONCLUSION: In women with a history of HTP, hypertension and metabolic syndrome are more common, and they have higher levels of biochemical cardiovascular risk factors 2.5 years after pregnancy.
Keywords: cardiovascular risk factors; cohort study; gestational hypertension; hypertension; preeclampsia; pregnancy
Rights: © 2013 Mosby, Inc. All rights reserved.
DOI: 10.1016/j.ajog.2013.02.016
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