4.6 Article

Ten-Year Cardiovascular Disease Risk Trajectories by Obstetric History: A Longitudinal Study in the Norwegian HUNT Study

期刊

出版社

WILEY
DOI: 10.1161/JAHA.121.021733

关键词

cardiovascular disease; large for gestational age; preeclampsia; pregnancy; preterm birth; small for gestational age; women's health

资金

  1. UK Medical Research Council [MR/M009351/1, MC_ UU_00011/6]
  2. American Heart Association [16PRE29690006]
  3. Research Council of Norway [231149/F20]
  4. K.G. Jebsen Foundation
  5. Liaison Committee for education, research, and innovation in Central Norway
  6. National Institute of Child Health and Human Development, National Institutes of Health [T32HD060454]
  7. St. Olavs Hospital, NTNU
  8. Faculty of Medicine and Health Sciences, NTNU
  9. Fulbright Program

向作者/读者索取更多资源

Women with a history of obstetric complications have an increased risk of cardiovascular disease, but there is currently no recommendation to specifically target them for CVD screening. However, pregnancy complications can identify women who would benefit from primordial and primary prevention efforts in later life.
Background Women with a history of obstetric complications are at increased risk of cardiovascular disease, but whether they should be specifically targeted for cardiovascular disease (CVD) risk screening is unknown. Methods and Results We used linked data from the Norwegian HUNT (Trondelag Health) Study and the Medical Birth Registry of Norway to create a population-based, prospective cohort of parous women. Using an established CVD risk prediction model (A Norwegian risk model for cardiovascular disease), we predicted 10-year risk of CVD (nonfatal myocardial infarction, fatal coronary heart disease, and nonfatal or fatal stroke) based on established risk factors (age, systolic blood pressure, total and high-density lipoprotein cholesterol, smoking, antihypertensive use, and family history of myocardial infarction). Predicted 10-year CVD risk scores in women aged between 40 and 60 years were consistently higher in those with a history of obstetric complications. For example, when aged 40 years, women with a history of preeclampsia had a 0.06 percentage point higher mean risk score than women with all normotensive deliveries, and when aged 60 years this difference was 0.86. However, the differences in the proportion of women crossing established clinical thresholds for counseling and treatment in women with and without a complication were modest. Conclusions Findings do not support targeting parous women with a history of pregnancy complications for CVD screening. However, pregnancy complications identify women who would benefit from primordial and primary prevention efforts such as encouraging and supporting behavioral changes to reduce CVD risk in later life.

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