{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:24:07Z","timestamp":1788326647434,"version":"build-2803163510"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2022,4,19]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Our objective was to assess new chronic hypertension 6 to 12\u00a0months postpartum for those with hypertensive disorder of pregnancy (HDP) compared with normotensive participants.<\/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 performed a prospective cohort study of participants with singleton gestations and no known preexisting medical conditions who were diagnosed with HDP compared with normotensive women with no pregnancy complications (non\u2010HDP). Participants underwent cardiovascular risk assessment 6 to 12\u00a0months after delivery. Primary outcome was onset of new chronic hypertension at 6 to 12\u00a0months postpartum. We also examined lipid values, metabolic syndrome, prediabetes, diabetes, and 30\u2010year cardiovascular disease (CVD) risk. Multivariable logistic regression was performed to assess the association between HDP and odds of a postpartum diagnosis of chronic hypertension while adjusting for parity, body mass index, insurance, and family history of CVD. There were 58 participants in the HDP group and 51 participants in the non\u2010HDP group. Baseline characteristics between groups were not statistically different. Participants in the HDP group had 4\u2010fold adjusted odds of developing a new diagnosis of chronic hypertension 6 to 12\u00a0months after delivery, compared with those in the non\u2010HDP group (adjusted odds ratio, 4.60 [95% CI, 1.65\u201312.81]), when adjusting for body mass index, parity, family history of CVD, and insurance. Of the HDP group, 58.6% (n=34) developed new chronic hypertension. Participants in the HDP group had increased estimated 30\u2010year CVD risk and were more likely to have metabolic syndrome, a higher fasting blood glucose, and higher low\u2010density lipoprotein cholesterol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Participants without known underlying medical conditions who develop HDP have 4\u2010fold increased odds of new diagnosis of chronic hypertension by 6 to 12\u00a0months postpartum as well as increased 30\u2010year CVD risk scores. Implementation of multidisciplinary care models focused on CVD screening, patient education, and lifestyle interventions during the first year postpartum may serve as an effective primary prevention strategy for the development of CVD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.121.024443","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T05:55:23Z","timestamp":1649742923000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":35,"title":["Seizing the Window of Opportunity Within 1 Year Postpartum: Early Cardiovascular Screening"],"prefix":"10.1161","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2698-7395","authenticated-orcid":false,"given":"Christina M.","family":"Ackerman\u2010Banks","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology, &amp; Reproductive Science Yale University New Haven CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga","family":"Grechukhina","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, &amp; Reproductive Science Yale University New Haven CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1557-7713","authenticated-orcid":false,"given":"Erica","family":"Spatz","sequence":"additional","affiliation":[{"name":"Section of Cardiovascular Medicine Yale University New Haven CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisbet","family":"Lundsberg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, &amp; Reproductive Science Yale University New Haven CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Chou","sequence":"additional","affiliation":[{"name":"Section of Cardiovascular Medicine Yale University New Haven CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3128-4523","authenticated-orcid":false,"given":"Graeme","family":"Smith","sequence":"additional","affiliation":[{"name":"Kingston General Hospital Kingston Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria R.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Medstar Georgetown University Hospital Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uma M.","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Columbia University New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, &amp; 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