[Hypertensive disorders during pregnancy: Cardiovascular long-term outcomes]

Abstract

Pregnancy-induced hypertension (PIH) induces maternal and fetal damage, but it can also be the beginning of future metabolic and vascular disorders. The relative risk of chronic hypertension after PIH is between 2.3 and 11, and the likelihood of subsequent development of type 2 diabetes is multiplied by 1.8. Women with prior preeclampsia/eclampsia have a twofold risk of stroke and a higher frequency of arrhythmias and hospitalization due to heart failure. Furthermore, a tenfold greater risk for long-term chronic kidney disease is observed as well. The relative risk of cardiovascular death is 2.1 times higher compared to the group without pregnancy-induced hypertension problems, although the risk is between 4 and 7 times higher in preterm birth associated with gestational hypertension or pre-existing hypertension The postpartum period is a great opportunity to intervene on lifestyle, obesity, make an early diagnosis of chronic hypertension and DM and provide the necessary treatments to prevent cardiovascular complications in women.

Keywords: Cardiopatía y embarazo; Cardiovascular complications in women; Chronic kidney disease and pregnancy; Complicaciones cardiovasculares en la mujer; Heart disease and pregnancy; Hipertensión en el embarazo; Hypertension in pregnancy; Ictus y embarazo; Insuficiencia renal y embarazo; Preeclampsia; Stroke and pregnancy.