{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T10:16:01Z","timestamp":1794564961936,"version":"4.9.1"},"reference-count":29,"publisher":"BMJ","issue":"14","funder":[{"name":"NIH"},{"name":"Jacqueline Marie Leafier Research Foundation Fund"},{"name":"T-32 Teaching Grant"},{"name":"National Institute on Child Health and Human Development"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Heart"],"accepted":{"date-parts":[[2017,12,5]]},"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Women with pregnancies complicated by hypertensive disorders of pregnancy (HDP) have increased long-term cardiovascular (CV) risk. We sought to determine if they demonstrate increased short-term CV risk.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Using administrative records, all hospital-based deliveries in Florida from 2004 to 2010 and subsequent readmission to any Florida hospital within 3 years of index delivery were identified. Deliveries and clinical diagnoses were determined using International Classification of Diseases, Ninth Revision, Clinical Modification codes. HDP included pregnancies complicated by gestational hypertension, pre-eclampsia or eclampsia. Outcomes were CV readmission (acute myocardial infarction, stroke or heart failure), non-CV readmission and any readmission within 3 years of delivery excluding subsequent deliveries. Associations were determined using multivariate logistic regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 1 452 926 records from delivering mothers of singleton infants (mean age 27.2\u00b16.2 years; 52% white, 23% African American (AA), 18% Hispanic), there were 4054 CV and 259\u2009252 non-CV readmissions. Women with HDP had higher CV readmission rates (6.4 vs 2.5\/1000 deliveries; P&lt;0.001). AA women had higher rates of CV readmission than whites or Hispanics (6.8 vs 1.7 vs 1.0\/1000 deliveries, respectively; P&lt;0.001). Women with HDP had higher multivariate risk of CV readmission (OR 2.41; 95%\u2009CI 2.08 to 2.80) and any readmission (OR 1.13; 95%\u2009CI 1.10 to 1.15). Compared with whites, AA women had higher risk for CV readmission (OR 3.60; 95%\u2009CI 3.32 to 3.90) after adjustment for HDP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Women with HDP had twice the risk of CV readmission within 3 years of delivery, with higher rates among AA women. More work is needed to explore preventive strategies for HDP-associated events.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/heartjnl-2017-312299","type":"journal-article","created":{"date-parts":[[2018,1,11]],"date-time":"2018-01-11T12:25:34Z","timestamp":1515673534000},"page":"1187-1194","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":43,"title":["Short-term risk of cardiovascular readmission following a hypertensive disorder of pregnancy"],"prefix":"10.1136","volume":"104","author":[{"given":"Jennifer L","family":"Jarvie","sequence":"first","affiliation":[{"name":"Division of Cardiology, University of Colorado School of Medicine, Aurora, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torri D","family":"Metz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology\/Maternal-Fetal Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA"},{"name":"Department of Obstetrics and Gynecology\/Maternal-Fetal Medicine, Denver Health Medical Center, Denver, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda B","family":"Davis","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica C","family":"Ehrig","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology\/Maternal-Fetal Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P","family":"Kao","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Colorado School of Medicine, Aurora, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,1,11]]},"reference":[{"key":"2025101722372863000_104.14.1187.1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000350"},{"key":"2025101722372863000_104.14.1187.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.6.611"},{"key":"2025101722372863000_104.14.1187.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2005.02.037"},{"key":"2025101722372863000_104.14.1187.4","doi-asserted-by":"publisher","DOI":"10.7326\/M14-1281"},{"key":"2025101722372863000_104.14.1187.5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7323.1213"},{"key":"2025101722372863000_104.14.1187.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)05112-6"},{"key":"2025101722372863000_104.14.1187.7","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.e7677","article-title":"Cardiovascular mortality after pre-eclampsia in one child mothers: prospective, population based cohort study","volume":"345","author":"Skjaerven","year":"2012","journal-title":"BMJ"},{"key":"2025101722372863000_104.14.1187.8","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31820faaf8"},{"key":"2025101722372863000_104.14.1187.9","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000437382.03963.88"},{"key":"2025101722372863000_104.14.1187.10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.003901"},{"key":"2025101722372863000_104.14.1187.11","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.atherosclerosissup.2004.03.002","article-title":"Do pregnancy complications and CVD share common antecedents?","volume":"5","author":"Sattar","year":"2004","journal-title":"Atheroscler Suppl"},{"key":"2025101722372863000_104.14.1187.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13177-7"},{"key":"2025101722372863000_104.14.1187.13","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2005-1337"},{"key":"2025101722372863000_104.14.1187.14","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39366.416817.BE"},{"key":"2025101722372863000_104.14.1187.15","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181bb0dfc"},{"key":"2025101722372863000_104.14.1187.16","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.107.101873"},{"key":"2025101722372863000_104.14.1187.17","doi-asserted-by":"crossref","first-page":"484.e1","DOI":"10.1016\/j.ajog.2016.05.047","article-title":"Pregnancy as a window to future health: maternal placental syndromes and short-term cardiovascular outcomes","volume":"215","author":"Cain","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"2025101722372863000_104.14.1187.18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38380.674340.E0"},{"key":"2025101722372863000_104.14.1187.19","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)80047-0"},{"key":"2025101722372863000_104.14.1187.20","doi-asserted-by":"crossref","first-page":"I-13","DOI":"10.1161\/01.HYP.13.5_Suppl.I13","article-title":"Blood pressure as a risk factor for cardiovascular disease. 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