Tuesday, April 19, 2016

How a woman's body responds to pregnancy may predict her later cardiovascular health

pregnancy and cardiovascular health
via curejoy.com
"It is not news that cardiovascular disease (CVD) is the number-one cause of death among women, accounting for 22.9% of all deaths. 

Yet only 1 in 5 women believe that heart d isease is their greatest risk, and this despite the mortality data and the American Heart Association’s (AHA) “Go Red for Women” campaign, which has been around for 12 years. What is becoming increasingly newsworthy in an abundance of literature is that a woman’s response to pregnancy appears to predict her later cardiovascular health.

Previously developed scoring and risk algorithms for CVD may underestimate the risk in reproductive-age women because they focus primarily on obesity and metabolic syndrome, hypertension, diabetes, and family history. 

In 2011, the AHA recommended including a woman’s obstetric history in risk assessment, in its updated report, “Effectiveness-Based Guidelines for the Prevention of Cardiovascular Disease in Women.”

In 2014, the organization took it a step further with its “Guidelines for the Prevention of Stroke in Women,” which included history of preeclampsia and gestational hypertension in the risk profile for CVD. For the first time, non-obstetricians were being encouraged to ask women about their obstetric history and to consider the existing evidence about the long-term implications of pregnancy-related complications..."

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