Preeclampsia and later cardiovascular disease - What do national guidelines recommend?

Pregnancy Hypertens. 2017 Oct:10:14-17. doi: 10.1016/j.preghy.2017.07.139. Epub 2017 Jul 22.

Abstract

Preeclamptic women have an increased risk of hypertension and cardiovascular disease (CVD) later in life. The aim was to compare the latest clinical recommendations on post-preeclamptic prevention of hypertension and CVD published by eight National Associations of Gynecologists and Obstetricians. Definitions of preeclampsia differ internationally. Recommendations on when, how and who to screen to reduce post-preeclamptic CVD risk also show substantial variation. The diverging preeclampsia definitions make CVD prevention strategies difficult to compare. The variations in clinical recommendations are in line with the lacking evidence of cost-efficient follow-up strategies and stress the need for further research to optimize prevention strategies.

Keywords: Cardiovascular disease; Hypertension; National guidelines; Preeclampsia; Pregnancy; Women’s health.

Publication types

  • Comparative Study

MeSH terms

  • Cardiovascular Diseases / prevention & control*
  • Female
  • Humans
  • Obstetrics
  • Practice Guidelines as Topic / standards*
  • Pre-Eclampsia*
  • Pregnancy
  • Puerperal Disorders / prevention & control*
  • Societies, Medical
  • United States