{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T20:57:18Z","timestamp":1771102638435,"version":"3.50.1"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","funder":[{"name":"HHS | NIH | National Heart, Lung, and Blood Institute","award":["R01HL159216,K01HL142848"],"award-info":[{"award-number":["R01HL159216,K01HL142848"]}]},{"name":"HHS | Health Resources and Services Administration"}],"content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Quality and Outcomes"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>It is unknown whether predelivery cardiology care is associated with future risk of major adverse cardiovascular events (MACE) in preeclampsia\/eclampsia (PrE\/E). We sought to determine the cumulative incidence of MACE by race and whether predelivery cardiology care was associated with the hazard of MACE up to 1 year post-delivery for Black and White patients with PrE\/E.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Using Optum\u2019s de-identified Clinformatics Data Mart Database, we identified Black and White patients with PrE\/E who had a delivery between 2008 and 2019. MACE was defined as the composite of heart failure, acute myocardial infarction, stroke, and death. Cumulative incidence functions were used to compare the incidence of MACE by race. Regression models were used to assess the hazard of MACE by cardiology care for each race. Separate hazards were calculated for the first 14 days and the remainder of the year.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              Among 29\u2005336 patients (83.4% White patients, 16.6% Black patients, 99.5% commercially insured, mean age: 30.9 years) with PrE\/E, 11.2% received cardiology care (10.9% White patients, 13.0% Black patients). Black patients had higher incidence of MACE than White patients at 1 year post-delivery (2.7% versus 1.4%) with the majority within 14 days of delivery (Black patients: 58.7%; White patients: 67.8%). After adjusting for age and comorbidities, receipt of cardiology care was associated with a lower hazard of MACE for White patients within 14 days after delivery (hazard ratio, 0.31 [95% CI, 0.21\u20130.46];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) but not Black patients (hazard ratio, 1.00 [95% CI, 0.60\u20131.67];\n              <jats:italic>P<\/jats:italic>\n              =0.999). The effect of the interaction between race and cardiology care was significant in the first 14 days (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) but not the remainder of the year (\n              <jats:italic>P<\/jats:italic>\n              =0.56).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>Among a well-insured population of patients with PrE\/E, Black patients had a higher cumulative incidence of MACE up to a year post-delivery. Cardiology care was associated with a lower hazard of MACE only for White patients during the first 14 days after delivery.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circoutcomes.124.011643","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T10:00:28Z","timestamp":1731319228000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Relationship Between Race, Predelivery Cardiology Care, and Cardiovascular Outcomes in Preeclampsia\/Eclampsia Among a Commercially Insured Population"],"prefix":"10.1161","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5994-8010","authenticated-orcid":true,"given":"Ikeoluwapo Kendra","family":"Bolakale-Rufai","sequence":"first","affiliation":[{"name":"Department of Internal Medicine (I.K.B.-R.), Northwestern University Feinberg School of Medicine, Chicago, IL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9017-7007","authenticated-orcid":true,"given":"Shannon M.","family":"Knapp","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (S.M.K., K.B.), Indiana University, Indianapolis."},{"name":"Department of Biostatistics and Health Data Science, Richard M. Fairbanks School of Public Health, Indianapolis, IN (S.M.K.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0023-4440","authenticated-orcid":true,"given":"Brownsyne","family":"Tucker Edmonds","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology (B.T.E.), Indiana University, Indianapolis."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0643-1859","authenticated-orcid":true,"given":"Sadiya","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine (I.K.B.-R.), Northwestern University Feinberg School of Medicine, Chicago, IL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6468-9324","authenticated-orcid":true,"given":"LaPrincess C.","family":"Brewer","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (L.B.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3553-2720","authenticated-orcid":true,"given":"Selma","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Creighton University, Omaha, NE (S. Mohammed)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1252-0735","authenticated-orcid":true,"given":"Amber","family":"Johnson","sequence":"additional","affiliation":[{"name":"Section of Cardiology, Department of Medicine, University of Chicago, IL (A.J.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6451-2118","authenticated-orcid":true,"given":"Sula","family":"Mazimba","sequence":"additional","affiliation":[{"name":"Department of Cardiology, AdventHealth, Orlando, FL (S. 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