Hypertensive Disorders of Pregnancy and Risk of Future Cardiovascular Disease in Women.
Hypertensive Disorders of Pregnancy and Risk of Future Cardiovascular Disease in Women.
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DOI：
10.1016/j.nwh.2020.02.001
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发表时间：
2020-04-01
影响因子：
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通讯作者：
Heydari, Mehrdad
中科院分区：
文献类型：
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作者：
Vahedi, Farnoosh Asghar;Gholizadeh, Leila;Heydari, Mehrdad
心血管疾病仍然是全球妇女死亡的主要原因。除了传统的风险因素外，一些性别特异性疾病也增加了妇女心血管疾病的负担。在这篇文献综述中，我们旨在回顾妊娠期高血压疾病与晚年心血管疾病风险之间的关联证据。在检索数据库并应用纳入和排除标准后，纳入了11项研究。我们的研究结果表明，在怀孕期间有先兆子痫、妊娠期高血压或收缩压升高的病史，在以后的生活中发生和死于心肌梗死、心力衰竭、高血压和/或中风的风险增加。护士和其他卫生保健提供者应该意识到与妊娠期高血压疾病相关的心血管风险，并让有风险的妇女参与讨论健康促进策略和干预措施，以解决可改变的心血管疾病风险因素。
Cardiovascular disease continues to be the leading cause of mortality in women globally. In addition to traditional risk factors, some sex-specific conditions increase the burden of cardiovascular disease in women. With this literature review, we aimed to review evidence on associations between hypertensive disorders of pregnancy and risk of cardiovascular disease in later life. After a database search and application of inclusion and exclusion criteria, 11 studies were included in the review. Our findings suggest that a history of preeclampsia, gestational hypertension, or elevated systolic blood pressure alone during pregnancy is consistently associated with increased risk of developing and dying from myocardial infarction, heart failure, hypertension, and/or stroke in later life. Nurses and other health care providers should be aware of the cardiovascular risk associated with hypertensive disorders of pregnancy and engage women at risk in discussions about health promotion strategies and interventions to address modifiable cardiovascular disease risk factors.