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Ten-Year Cardiovascular Disease Risk Trajectories by Obstetric History: A Longitudinal Study in the Norwegian HUNT Study.
Fraser, Abigail; Markovitz, Amanda R; Haug, Eirin B; Horn, Julie; Romundstad, Pål Richard; Dalen, Håvard; Rich-Edwards, Janet; Åsvold, Bjørn Olav.
Afiliación
  • Fraser A; Population Health Sciences Bristol Medical School University of Bristol Bristol UK.
  • Markovitz AR; Medical Research Council Integrative Epidemiology Unit at the University of Bristol Bristol UK.
  • Haug EB; Department of Epidemiology Harvard T.H. Chan School of Public Health Boston MA.
  • Horn J; Division of Women's Health Brigham and Women's Hospital Boston MA.
  • Romundstad PR; Connors Center for Women's Health and Gender BiologyBrigham and Women's Hospital Boston MA.
  • Dalen H; Mathematica Cambridge MA.
  • Rich-Edwards J; Population Health Sciences Bristol Medical School University of Bristol Bristol UK.
  • Åsvold BO; Medical Research Council Integrative Epidemiology Unit at the University of Bristol Bristol UK.
J Am Heart Assoc ; 11(2): e021733, 2022 01 18.
Article en En | MEDLINE | ID: mdl-35014852
Background Women with a history of obstetric complications are at increased risk of cardiovascular disease, but whether they should be specifically targeted for cardiovascular disease (CVD) risk screening is unknown. Methods and Results We used linked data from the Norwegian HUNT (Trøndelag Health) Study and the Medical Birth Registry of Norway to create a population-based, prospective cohort of parous women. Using an established CVD risk prediction model (A Norwegian risk model for cardiovascular disease), we predicted 10-year risk of CVD (nonfatal myocardial infarction, fatal coronary heart disease, and nonfatal or fatal stroke) based on established risk factors (age, systolic blood pressure, total and high-density lipoprotein cholesterol, smoking, antihypertensive use, and family history of myocardial infarction). Predicted 10-year CVD risk scores in women aged between 40 and 60 years were consistently higher in those with a history of obstetric complications. For example, when aged 40 years, women with a history of preeclampsia had a 0.06 percentage point higher mean risk score than women with all normotensive deliveries, and when aged 60 years this difference was 0.86. However, the differences in the proportion of women crossing established clinical thresholds for counseling and treatment in women with and without a complication were modest. Conclusions Findings do not support targeting parous women with a history of pregnancy complications for CVD screening. However, pregnancy complications identify women who would benefit from primordial and primary prevention efforts such as encouraging and supporting behavioral changes to reduce CVD risk in later life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Enfermedades Cardiovasculares / Infarto del Miocardio Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Middle aged / Pregnancy Idioma: En Revista: J Am Heart Assoc Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Enfermedades Cardiovasculares / Infarto del Miocardio Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Middle aged / Pregnancy Idioma: En Revista: J Am Heart Assoc Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido