{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T02:35:07Z","timestamp":1784774107196,"version":"3.55.0"},"reference-count":46,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"17","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2021,9,7]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Hypertensive disorders of pregnancy (HDP) and pre\u2010pregnancy hypertension are associated with increased morbidity and mortality for the mother. Our aim was to investigate the relationships between HDP and pre\u2010pregnancy hypertension with maternal heart failure (HF) within 1 and 5\u00a0years of delivery and to examine racial\/ethnic differences.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">We conducted a retrospective cohort study in South Carolina (2004\u20132016) involving 425\u00a0649 women aged 12 to 49\u00a0years (58.9% non\u2010Hispanic White [NHW], 31.5% non\u2010Hispanic Black [NHB], 9.6% Hispanic) with a live, singleton birth. Incident HF was defined by hospital\/emergency department visit and death certificate data. Pre\u2010pregnancy hypertension and HDP (preeclampsia, eclampsia, or gestational hypertension) were based on hospitalization\/emergency department visit and birth certificate data (i.e., gestational hypertension for HDP). The 425\u00a0649 women had pre\u2010pregnancy hypertension without superimposed HDP (pre\u2010pregnancy hypertension alone; 0.4%), HDP alone (15.7%), pre\u2010pregnancy hypertension with superimposed HDP (both conditions; 2.2%), or neither condition in any pregnancy (81.7%). Incident HF event rates per 1000 person\u2010years were higher in NHB than NHW women with HDP (HDP: 2.28 versus 0.96; both conditions: 4.30 versus 1.22, respectively). After adjustment, compared with women with neither condition, incident HF risk within 5\u00a0years of delivery was increased for women with pre\u2010pregnancy hypertension (HR,2.55, 95% CI: 1.31\u20134.95), HDP (HR,4.20, 95% CI: 3.66\u20134.81), and both conditions (HR,5.25, 95% CI: 4.24\u20136.50).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Women with HDP and pre\u2010pregnancy hypertension were at higher HF risk (highest for superimposed preeclampsia) within 5\u00a0years of delivery. NHB women with HDP had higher HF risk than NHW women, regardless of pre\u2010pregnancy hypertension.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.021616","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T09:06:12Z","timestamp":1629882372000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Incident Heart Failure Within the First and Fifth Year after Delivery Among Women With Hypertensive Disorders of Pregnancy and Prepregnancy Hypertension in a Diverse Population"],"prefix":"10.1161","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5691-5347","authenticated-orcid":false,"given":"Angela M.","family":"Malek","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences Medical University of South Carolina Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4726-7848","authenticated-orcid":false,"given":"Dulaney A.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Medical University of South Carolina Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5399-8845","authenticated-orcid":false,"given":"Tanya N.","family":"Turan","sequence":"additional","affiliation":[{"name":"Department of Neurology Medical University of South Carolina Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6886-4807","authenticated-orcid":false,"given":"Julio","family":"Mateus","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology, Maternal\u2010Fetal Medicine Division Atrium Health Charlotte NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5733-6283","authenticated-orcid":false,"given":"Daniel T.","family":"Lackland","sequence":"additional","affiliation":[{"name":"Department of Neurology Medical University of South Carolina Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-3587","authenticated-orcid":false,"given":"Kelly J.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Medical University of South Carolina Charleston SC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","volume-title":"Williams Obstetrics","author":"Cunningham FG","year":"2010","unstructured":"Cunningham FG, Leveno KJ, Bloom SL. 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