{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T20:18:26Z","timestamp":1773865106754,"version":"3.50.1"},"reference-count":44,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","onlinecjc.ca","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Canadian Journal of Cardiology"],"published-print":{"date-parts":[[2019,6]]},"DOI":"10.1016\/j.cjca.2019.03.008","type":"journal-article","created":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T22:35:51Z","timestamp":1552948551000},"page":"761-769","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Referral to Cardiology Following Postpartum Cardiovascular Risk Screening at the Maternal Health Clinic in Kingston, Ontario"],"prefix":"10.1016","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6485-4879","authenticated-orcid":false,"given":"Rachel A.","family":"Gladstone","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7000-2605","authenticated-orcid":false,"given":"Jessica","family":"Pudwell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raveen S.","family":"Pal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3128-4523","authenticated-orcid":false,"given":"Graeme N.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.cjca.2019.03.008_bib2","author":"Understood"},{"key":"10.1016\/j.cjca.2019.03.008_bib3","first-page":"451","article-title":"The Canadian heart health strategy and action plan","volume":"25","author":"Smith","year":"2009","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjca.2019.03.008_bib4","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1161\/CIR.0b013e31820faaf8","article-title":"Effectiveness-based guidelines for the prevention of cardiovascular disease in women\u20142011 update: a guideline from the American Heart Association","volume":"123","author":"Mosca","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2019.03.008_bib5","series-title":"Heart Disease in Canada","year":"2017"},{"key":"10.1016\/j.cjca.2019.03.008_bib6","series-title":"Report from the Canadian Chronic Disease Surveillance System: Heart Disease in Canada, 2018","year":"2018"},{"key":"10.1016\/j.cjca.2019.03.008_bib7","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/S1701-2163(15)30841-0","article-title":"The Maternal Health Clinic: a new window of opportunity for early heart disease risk screening and intervention for women with pregnancy complications","volume":"35","author":"Smith","year":"2013","journal-title":"J\u00a0Obstet Gynaecol Can"},{"key":"10.1016\/j.cjca.2019.03.008_bib8","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1097\/00001703-200312000-00002","article-title":"Pregnancy: a stress test for life","volume":"15","author":"Williams","year":"2003","journal-title":"Curr Opin Obstet Gynecol"},{"key":"10.1016\/j.cjca.2019.03.008_bib9","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1136\/bmj.325.7356.157","article-title":"Pregnancy complications and maternal cardiovascular risk: opportunities for intervention and screening?","volume":"325","author":"Sattar","year":"2002","journal-title":"BMJ"},{"key":"10.1016\/j.cjca.2019.03.008_bib10","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1016\/S1701-2163(16)35381-6","article-title":"Ten-year, thirty-year, and lifetime cardiovascular disease risk estimates following a pregnancy complicated by preeclampsia","volume":"34","author":"Smith","year":"2012","journal-title":"J\u00a0Obstet Gynaecol Can"},{"key":"10.1016\/j.cjca.2019.03.008_bib11","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2008.06.035","article-title":"A\u00a0history of preeclampsia identifies women who have underlying cardiovascular risk factors","volume":"200","author":"Smith","year":"2009","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.cjca.2019.03.008_bib12","doi-asserted-by":"crossref","first-page":"2002","DOI":"10.1016\/S0140-6736(00)05112-6","article-title":"Pregnancy complications and maternal risk of ischaemic heart disease: a retrospective cohort study of 129,290 births","volume":"357","author":"Smith","year":"2001","journal-title":"Lancet"},{"key":"10.1016\/j.cjca.2019.03.008_bib13","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1503\/cmaj.090569","article-title":"Mild glucose intolerance in pregnancy and risk of cardiovascular disease: a population-based cohort study","volume":"181","author":"Retnakaran","year":"2009","journal-title":"CMAJ"},{"key":"10.1016\/j.cjca.2019.03.008_bib14","doi-asserted-by":"crossref","first-page":"239","DOI":"10.2174\/157339909789804378","article-title":"Glucose tolerance status in pregnancy: a window to the future risk of diabetes and cardiovascular disease in young women","volume":"5","author":"Retnakaran","year":"2009","journal-title":"Curr Diabetes Rev"},{"key":"10.1016\/j.cjca.2019.03.008_bib15","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1016\/S0140-6736(05)67726-4","article-title":"Cardiovascular health after maternal placental syndromes (CHAMPS): population-based retrospective cohort study","volume":"366","author":"Ray","year":"2005","journal-title":"Lancet"},{"key":"10.1016\/j.cjca.2019.03.008_bib16","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1136\/bmj.323.7323.1213","article-title":"Long term mortality of mothers and fathers after pre-eclampsia: population based cohort study","volume":"323","author":"Irgens","year":"2001","journal-title":"BMJ"},{"key":"10.1016\/j.cjca.2019.03.008_bib17","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1093\/epirev\/mxt006","article-title":"Pregnancy characteristics and women's future cardiovascular health: an underused opportunity to improve women's health?","volume":"36","author":"Rich-Edwards","year":"2014","journal-title":"Epidemiol Rev"},{"key":"10.1016\/j.cjca.2019.03.008_bib18","first-page":"526","article-title":"Hypertension Canada's 2018 Guidelines for the management of hypertension in pregnancy","volume":"34","author":"Butalia","year":"2018","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjca.2019.03.008_bib19","first-page":"1263","article-title":"2016 Canadian Cardiovascular Society Guidelines for the management of dyslipidemia for the prevention of cardiovascular disease in the adult","volume":"32","author":"Anderson","year":"2016","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjca.2019.03.008_bib20","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1161\/HYPERTENSIONAHA.117.09246","article-title":"All hypertensive disorders of pregnancy increase the risk of future cardiovascular disease","volume":"70","author":"Tooher","year":"2017","journal-title":"Hypertension"},{"key":"10.1016\/j.cjca.2019.03.008_bib21","first-page":"1","article-title":"Pregnancy-related risk factors are associated with a significant burden of treated hypertension within 10 years of delivery: findings from a population-based Norwegian cohort","volume":"7","author":"Egeland","year":"2018","journal-title":"J\u00a0Am Heart Assoc"},{"key":"10.1016\/j.cjca.2019.03.008_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.jogc.2018.10.024","article-title":"Cardiovascular risk assessment and follow-up of women after hypertensive disorders of pregnancy: a prospective cohort study [Epub ahead of print]","author":"Gladstone","year":"2019","journal-title":"J\u00a0Obstet Gynaecol Can"},{"key":"10.1016\/j.cjca.2019.03.008_bib23","article-title":"Association between gestational hypertension and risk of cardiovascular disease among 617 589 Norwegian women","volume":"7","author":"Riise","year":"2018","journal-title":"J\u00a0Am Heart Assoc"},{"key":"10.1016\/j.cjca.2019.03.008_bib24","first-page":"371","article-title":"Mechanisms and clinical significance of endothelial dysfunction in high-risk pregnancies","volume":"34","author":"McLaughlin","year":"2018","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjca.2019.03.008_bib25","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1007\/s11936-018-0653-8","article-title":"Hypertensive disorders of pregnancy and cardiovascular diseases: current knowledge and future directions","volume":"20","author":"Coutinho","year":"2018","journal-title":"Curr Treat Options Cardiovasc Med"},{"key":"10.1016\/j.cjca.2019.03.008_bib26","article-title":"Hypertensive disorders in pregnancy and the risk of cardiovascular disease: a need for postpartum strategies for the primary prevention","volume":"7","author":"Gupta","year":"2018","journal-title":"J\u00a0Am Heart Assoc"},{"key":"10.1016\/j.cjca.2019.03.008_bib27","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1177\/2047487317730472","article-title":"Preventing cardiovascular disease after hypertensive disorders of pregnancy: searching for the how and when","volume":"24","author":"Groenhof","year":"2017","journal-title":"Eur J Prev Cardiol"},{"key":"10.1016\/j.cjca.2019.03.008_bib28","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2013.12.001","article-title":"The maternal health clinic: an initiative for cardiovascular risk identification in women with pregnancy-related complications","volume":"210","author":"Cusimano","year":"2014","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.cjca.2019.03.008_bib29","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1161\/CIRCULATIONAHA.107.699579","article-title":"General cardiovascular risk profile for use in primary care: the Framingham Heart Study","volume":"117","author":"D'Agostino","year":"2008","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2019.03.008_bib30","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/S2213-8587(14)70229-3","article-title":"Years of life lost and healthy life-years lost from diabetes and cardiovascular disease in overweight and obese people: a modelling study","volume":"3","author":"Grover","year":"2015","journal-title":"Lancet Diabetes Endocrinol"},{"key":"10.1016\/j.cjca.2019.03.008_bib31","doi-asserted-by":"crossref","first-page":"3078","DOI":"10.1161\/CIRCULATIONAHA.108.816694","article-title":"Predicting the 30-year risk of cardiovascular disease: the Framingham heart study","volume":"119","author":"Pencina","year":"2009","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2019.03.008_bib32","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1161\/CIRCULATIONAHA.105.548206","article-title":"Prediction of lifetime risk for cardiovascular disease by risk factor burden at 50 years of age","volume":"113","author":"Lloyd-Jones","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2019.03.008_bib33","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1161\/HYPERTENSIONAHA.110.156810","article-title":"Breathing life into the lifecourse approach: pregnancy history and cardiovascular disease in women","volume":"56","author":"Rich-Edwards","year":"2010","journal-title":"Hypertension"},{"key":"10.1016\/j.cjca.2019.03.008_bib34","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1038\/nrcardio.2014.98","article-title":"Global availability of cardiac rehabilitation","volume":"11","author":"Turk-Adawi","year":"2014","journal-title":"Nat Rev Cardiol"},{"issue":"suppl D","key":"10.1016\/j.cjca.2019.03.008_bib35","first-page":"3D","article-title":"Canadian Association of Cardiac Rehabilitation Guidelines Writing Group. Canadian guidelines for cardiac rehabilitation and cardiovascular disease prevention, second edition, 2004: executive summary","volume":"21","author":"Stone","year":"2005","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjca.2019.03.008_bib36","doi-asserted-by":"crossref","first-page":"2675","DOI":"10.1161\/CIRCULATIONAHA.106.180945","volume":"115","author":"Balady","year":"2007","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2019.03.008_bib37","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1161\/01.CIR.0000151788.08740.5C","volume":"111","author":"Leon","year":"2005","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2019.03.008_bib38","first-page":"CD011273","article-title":"Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews","volume":"12","author":"Anderson","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.cjca.2019.03.008_bib39","doi-asserted-by":"crossref","first-page":"h5000","DOI":"10.1136\/bmj.h5000","article-title":"Cardiac rehabilitation","volume":"351","author":"Dalal","year":"2015","journal-title":"BMJ"},{"key":"10.1016\/j.cjca.2019.03.008_bib40","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.pcad.2017.01.002","article-title":"Community-based healthy living interventions","volume":"59","author":"Berra","year":"2017","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.cjca.2019.03.008_bib41","doi-asserted-by":"crossref","first-page":"2030","DOI":"10.1093\/ajcn\/34.10.2030","article-title":"Effect of health education on dietary behavior: the Stanford Three Community Study","volume":"34","author":"Fortmann","year":"1981","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.cjca.2019.03.008_bib42","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1001\/jama.1990.03450030083037","article-title":"Effects of communitywide education on cardiovascular disease risk factors. The Stanford Five-City Project","volume":"264","author":"Farquhar","year":"1990","journal-title":"JAMA"},{"key":"10.1016\/j.cjca.2019.03.008_bib43","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1136\/bmj.2.6199.1173","article-title":"Changes in coronary risk factors during comprehensive five-year community programme to control cardiovascular diseases (North Karelia project)","volume":"2","author":"Puska","year":"1979","journal-title":"Br Med J"},{"key":"10.1016\/j.cjca.2019.03.008_bib44","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/S1701-2163(15)30283-8","article-title":"Cardiovascular risk reduction and weight management at a hospital-based postpartum preeclampsia clinic","volume":"37","author":"Janmohamed","year":"2015","journal-title":"J\u00a0Obstet Gynaecol Can"},{"key":"10.1016\/j.cjca.2019.03.008_bib45","doi-asserted-by":"crossref","first-page":"e337","DOI":"10.2196\/jmir.8006","article-title":"The effectiveness of eHealth technologies on weight management in pregnant and postpartum women: systematic review and meta-analysis","volume":"19","author":"Sherifali","year":"2017","journal-title":"J\u00a0Med Internet Res"}],"container-title":["Canadian Journal of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0828282X19301941?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0828282X19301941?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:41:03Z","timestamp":1760107263000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0828282X19301941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":44,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["S0828282X19301941"],"URL":"https:\/\/doi.org\/10.1016\/j.cjca.2019.03.008","relation":{},"ISSN":["0828-282X"],"issn-type":[{"value":"0828-282X","type":"print"}],"subject":[],"published":{"date-parts":[[2019,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Referral to Cardiology Following Postpartum Cardiovascular Risk Screening at the Maternal Health Clinic in Kingston, Ontario","name":"articletitle","label":"Article Title"},{"value":"Canadian Journal of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cjca.2019.03.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}