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The objective of this systematic review was to determine the associations of fetal exposure to maternal hypertensive pregnancy with multi\u2010organ phenotypes across developmental stages.<\/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                      Ovid MEDLINE, EMBASE, CENTRAL (Cochrane Central Register of Controlled Trials), WoS, Scopus, CINAHL, and\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      were systematically searched until February 2024. Records were independently screened by 2 authors. Studies reporting on the structure or function of the heart, blood vessels, brain, liver, and kidneys in offspring of hypertensive pregnancies compared with a normotensive control population were included. Risk of bias was assessed using the Newcastle\u2010Ottawa Scale. Extracted data were presented using harvest plots. Seventy\u2010three studies including 7091 offspring of hypertensive pregnancies and 42\u2009164 controls were identified that met the inclusion criteria. Thirty\u2010two studies were investigations in fetuses, 24 in neonates and infants, 12 in children, 2 in adolescents, and 3 in adults. Offspring of hypertensive pregnancies had structural and functional changes in the heart compared with controls in some studies across developmental stages. Offspring of hypertensive pregnancies also had smaller occipital and parietal vessels, higher aortic intima\u2010media thickness, and lower retinal arteriolar\u2010to\u2010venular ratio. Some conflicting evidence existed for other phenotypical alterations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">There is still inconsistent evidence of multi\u2010organ structural and functional differences in offspring of hypertensive pregnancies. The evidence base could therefore be further strengthened through well\u2010designed and conducted prospective studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Registration Information<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.crd.york.ac.uk\">www.crd.york.ac.uk<\/jats:ext-link>\n                      . Unique Identifier: CRD42023387550.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.123.033617","type":"journal-article","created":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T07:03:37Z","timestamp":1729839817000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Multi\u2010Organ Phenotypes of Offspring Born Following Hypertensive Disorders of Pregnancy: A Systematic Review"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3942-9958","authenticated-orcid":false,"given":"Prenali Dwisthi","family":"Sattwika","sequence":"first","affiliation":[{"name":"University of Oxford","place":["Oxford, UK"]},{"name":"Universitas Gadjah Mada","place":["Yogyakarta, Indonesia"]},{"name":"Universitas Gadjah Mada","place":["Yogyakarta, 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