Future development of hypertension is more likely in those who have had hypertension during pregnancy. Scientists assessed the risk of the disease for 10 years after pregnancy.
Women with gestational hypertension had a 2.4 times greater risk of developing new-onset hypertension ten years later, reports a new study published in the Journal of the American College of Cardiology. Scientists from the Perelman School of Medicine at the University of Pennsylvania conducted a prospective cross-sectional study between April 2016 and December 2019. Women with and without a history of hypertension in pregnancy at least 10 years previously (from 2005 to 2007) participated.
In women with a history of gestational hypertension, measures of left ventricular structure, global longitudinal strain, diastolic function, arterial stiffness, or endothelial function remained unchanged.
With the development of hypertension in women without a history of pregnancy hypertension, greater left ventricular remodeling was observed, including greater relative wall thickness. Differences in non-invasive indicators are also represented by deterioration of diastolic function and abnormal longitudinal deformation.
The authors believe it is necessary to screen patients for hypertension, diagnose and treat hypertension at an early stage of the disease.
Hypertension in pregnancy includes gestational hypertension and preeclampsia. Patients who have had preeclampsia are at higher risk of stroke, heart failure, and myocardial infarction later in life. Hypertension in pregnancy is associated with an increased risk of cardiovascular disease 20 to 30 years later. However, the risk of cardiovascular disease in the ten years after the disease has been less studied.