72. Early onset preeclampsia predicts increased cardiovascular risk 1 year postpartum

Abstract

Objective/hypothesis Cardiovascular follow-up of women with previous hypertensive disorder of pregnancy (HDP) has been suggested, as they are at increased long-term CVD risk. There is however no consensus on when to start follow-up of women who regained normal blood pressure postpartum. We assessed at 1 year postpartum if a previous HDP predicts cardiovascular risk beyond risk factors generally known. Methods Gestational hypertension (GH) was defined as de novo hypertension ⩾gestational week (GW) 20 and preeclampsia (PE) was defined as GH with new-onset proteinuria. Early-onset PE was defined as PE with delivery Linear regression was used to measure associations between the FRS and previous HDP and adjusted for body mass index, age, smoking, premature cardiovascular disease in a 1st degree relative, and blood pressure at beginning of index pregnancy. P Results Framingham Risk Scores according to pregnancy diagnosis. Discussion Early-onset PE independently confers increased cardiovascular risk 1 year postpartum. Women with previous early-onset PE should receive early follow-up for prevention of cardiovascular disease.