{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T20:40:00Z","timestamp":1793047200140,"version":"4.5.0"},"reference-count":52,"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":[[2023,9,5]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Hypertensive disorders of pregnancy, gestational diabetes, and having a small\u2010for\u2010gestational\u2010age baby are known to substantially increase a woman's risk of cardiovascular disease. Despite this, evidence for models of care that mitigate cardiovascular disease risk in women with these pregnancy\u2010related conditions is lacking.<\/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\">\n                      A 6\u2010month prospective cohort study assessed the effectiveness of a multidisciplinary Women's Heart Clinic on blood pressure and lipid control in women aged 30 to 55\u2009years with a past pregnancy diagnosis of hypertensive disorders of pregnancy, gestational diabetes, or a small\u2010for\u2010gestational age baby in Melbourne, Australia. The co\u2010primary end points were (1) blood pressure &lt;140\/90\u2009mm\u2009Hg or &lt;130\/80\u2009mm\u2009Hg if diabetes and (2) total cholesterol to high\u2010density lipoprotein cholesterol ratio &lt;4.5. The study recruited 156 women with a mean age of 41.0\u00b14.2\u2009years, 3.9\u00b12.9\u2009years from last delivery, 68.6% White, 20.5% South\/East Asian, and 80.5% university\u2010educated. The proportion meeting blood pressure target increased (69.2% to 80.5%,\n                      <jats:italic>P<\/jats:italic>\n                      =0.004), with no significant change in lipid targets (80.6% to 83.7%,\n                      <jats:italic>P<\/jats:italic>\n                      =0.182). Systolic blood pressure (\u22126.9\u2009mm\u2009Hg [95% CI, \u22129.1 to \u22124.7],\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), body mass index (\u22120.6\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      [95% CI, \u22120.8 to \u22120.3],\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), low\u2010density lipoprotein cholesterol (\u22124.2\u2009mg\/dL [95% CI, \u22128.2 to \u22120.2],\n                      <jats:italic>P<\/jats:italic>\n                      =0.042), and total cholesterol (\u22124.6\u2009mg\/dL [95% CI, \u22129.1 to \u22120.2]\n                      <jats:italic>P<\/jats:italic>\n                      =0.042) reduced. Heart\u2010healthy lifestyle significantly improved with increased fish\/olive oil (36.5% to 51.0%,\n                      <jats:italic>P<\/jats:italic>\n                      =0.012), decreased fast food consumption (33.8% to 11.0%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), and increased physical activity (84.0% to 92.9%,\n                      <jats:italic>P<\/jats:italic>\n                      =0.025).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Women at high risk for cardiovascular disease due to past pregnancy\u2010related conditions experienced significant improvements in multiple cardiovascular risk factors after attending a Women's Heart Clinic, potentially improving long\u2010term cardiovascular disease outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      URL:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.anzctr.org.au\">https:\/\/www.anzctr.org.au<\/jats:ext-link>\n                      ; Unique identifier: ACTRN12622000646741.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.123.030015","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T05:37:06Z","timestamp":1693287426000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Prevention of Cardiovascular Disease in Women With Pregnancy\u2010Related Risk Factors: A Prospective Women's Heart Clinic Study"],"prefix":"10.1161","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5484-9144","authenticated-orcid":false,"given":"Simone","family":"Marschner","sequence":"first","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swati","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of Cardiology Cabrini Health Melbourne Australia"},{"name":"Department of Cardiology Alfred Hospital Melbourne Australia"},{"name":"Faculty of Medicine, Nursing &amp; Health Sciences Monash University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Watts","sequence":"additional","affiliation":[{"name":"Department of Cardiology Alfred Hospital Melbourne Australia"},{"name":"Faculty of Medical Education University of Melbourne Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haeri","family":"Min","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna L.","family":"Beale","sequence":"additional","affiliation":[{"name":"Department of Cardiology Alfred Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Department of Cardiology Alfred Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashima","family":"Juneja","sequence":"additional","affiliation":[{"name":"Department of Medicine The Northern Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6620-9139","authenticated-orcid":false,"given":"Jennifer A.","family":"Tremmel","sequence":"additional","affiliation":[{"name":"Department of Medicine (Cardiovascular) Stanford University School of Medicine Stanford CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6289-583X","authenticated-orcid":false,"given":"Sarah","family":"Zaman","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health The University of Sydney Sydney Australia"},{"name":"School of Clinical Sciences at Monash Health Monash University Melbourne Australia"},{"name":"Department of Cardiology Westmead Hospital Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","unstructured":"Cardiovascular diseases. 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