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We examined whether HDP or GDM were associated with a higher 10\u2010 and 30\u2010year predicted risk of ASCVD measured 10\u201314\u2009years after delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A secondary analysis from the international prospective Hyperglycemia and Adverse Pregnancy Outcome Follow\u2010up Study (2013\u20132016) cohort. The exposures were HDP or GDM (untreated according to the International Association of the Diabetes and Pregnancy Study Groups criteria). Outcomes were 10\u2010 and 30\u2010year predicted risk of ASCVD (composite of fatal and non\u2010fatal coronary heart disease and stroke) as quantified by the validated Framingham Risk Score as a continuous measure, and secondarily, at thresholds used for clinical decision\u2010making of \u22657.5% for 10\u2010year predicted risk and \u226520% for 30\u2010year predicted risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 4432 individuals at a median age of 30.5\u2009years and a median gestational age of 27.9\u2009weeks at pregnancy enrollment, 10.7% developed HDP and 13.7% developed GDM. At 10\u201314\u2009years after delivery, individuals with HDP had a higher 10\u2010year predicted risk of ASCVD (least squares mean: 2.9% vs. 2.2%; adj. <jats:italic>\u03b2<\/jats:italic>: 0.59; 95% CI: 0.41\u20130.77) and a higher 30\u2010year predicted risk of ASCVD (7.7% vs. 6.1%; adj. <jats:italic>\u03b2<\/jats:italic>: 1.27; 95% CI: 0.81\u20131.72) compared with those without HDP. Similarly, individuals with GDM had a higher predicted risk of ASCVD (10\u2010year: 3.2% vs. 2.1%; adj. <jats:italic>\u03b2<\/jats:italic>: 0.51; 95% CI: 0.34\u20130.67 and 30\u2010year: 8.8% vs. 5.8%; adj. <jats:italic>\u03b2<\/jats:italic>: 1.56; 95% CI: 1.11\u20132.01) compared with those without GDM. These results were similar when predicted ASCVD risk was assessed at thresholds of \u22657.5% at 10\u2009years and \u226520% at 30\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Individuals who experienced HDP or GDM had a higher predicted 10\u2010 and 30\u2010year risk of ASCVD measured 10\u201314\u2009years after delivery compared with individuals who did not experience these APOs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15516","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T04:53:21Z","timestamp":1737176001000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Hypertensive disorders of pregnancy and gestational diabetes mellitus and predicted risk of maternal cardiovascular disease 10\u201314\u2009years after delivery: A prospective cohort"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8043-556X","authenticated-orcid":false,"given":"Kartik K.","family":"Venkatesh","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A.","family":"Grobman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiqiang","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilay S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Medicine Northwestern University Feinberg School of Medicine  Chicago Illinois 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