The Fourth Trimester: Pregnancy as a Predictor of Cardiovascular Disease

Pregnancy identifies women who may be at a greater risk of cardiovascular disease (CVD), based on the development of adverse pregnancy outcomes (APOs), and may identify women who may benefit from atherosclerotic CVD (ASCVD) risk reduction efforts. APOs are common and although they are separate diagn...

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Main Authors: Pensée Wu, Ki Park, Martha Gulati
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-09-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2021.18
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author Pensée Wu
Ki Park
Martha Gulati
author_facet Pensée Wu
Ki Park
Martha Gulati
author_sort Pensée Wu
collection DOAJ
description Pregnancy identifies women who may be at a greater risk of cardiovascular disease (CVD), based on the development of adverse pregnancy outcomes (APOs), and may identify women who may benefit from atherosclerotic CVD (ASCVD) risk reduction efforts. APOs are common and although they are separate diagnoses, all these disorders seem to share an underlying pathogenesis. What is not clear is whether the APO itself initiates a pathway that results in CVD or whether the APO uncovers a woman’s predisposition to CVD. Regardless, APOs have immediate risks to maternal and foetal health, in addition to longer-term CVD consequences. CVD risk assessment and stratification in women remains complex and, historically, has underestimated risk, especially in young women. Further research is needed into the role of ASCVD risk assessment and the effect of aggressive ASCVD risk modification on CVD outcomes in women with a history of APOs.
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publishDate 2021-09-01
publisher Radcliffe Medical Media
record_format Article
series European Cardiology Review
spelling doaj-art-a3a3c9f0b1fa4515a5d96dc87c0398102025-08-20T02:39:22ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642021-09-011610.15420/ecr.2021.18The Fourth Trimester: Pregnancy as a Predictor of Cardiovascular DiseasePensée Wu0Ki Park1Martha Gulati2School of Medicine, Keele University, Staffordshire, UKUniversity of Florida, Gainesville, FL, USUniversity of Arizona, Phoenix, AZ, USPregnancy identifies women who may be at a greater risk of cardiovascular disease (CVD), based on the development of adverse pregnancy outcomes (APOs), and may identify women who may benefit from atherosclerotic CVD (ASCVD) risk reduction efforts. APOs are common and although they are separate diagnoses, all these disorders seem to share an underlying pathogenesis. What is not clear is whether the APO itself initiates a pathway that results in CVD or whether the APO uncovers a woman’s predisposition to CVD. Regardless, APOs have immediate risks to maternal and foetal health, in addition to longer-term CVD consequences. CVD risk assessment and stratification in women remains complex and, historically, has underestimated risk, especially in young women. Further research is needed into the role of ASCVD risk assessment and the effect of aggressive ASCVD risk modification on CVD outcomes in women with a history of APOs.https://www.ecrjournal.com/articleindex/ecr.2021.18
spellingShingle Pensée Wu
Ki Park
Martha Gulati
The Fourth Trimester: Pregnancy as a Predictor of Cardiovascular Disease
European Cardiology Review
title The Fourth Trimester: Pregnancy as a Predictor of Cardiovascular Disease
title_full The Fourth Trimester: Pregnancy as a Predictor of Cardiovascular Disease
title_fullStr The Fourth Trimester: Pregnancy as a Predictor of Cardiovascular Disease
title_full_unstemmed The Fourth Trimester: Pregnancy as a Predictor of Cardiovascular Disease
title_short The Fourth Trimester: Pregnancy as a Predictor of Cardiovascular Disease
title_sort fourth trimester pregnancy as a predictor of cardiovascular disease
url https://www.ecrjournal.com/articleindex/ecr.2021.18
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