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Impact of Hypertensive Disorders of Pregnancy on Maternal and Offspring Cardiovascular Health.

Impact of Hypertensive Disorders of Pregnancy on Maternal and Offspring Cardiovascular Health.

期刊: Current cardiology reports 日期: 2026-07-24 PMID: 42496753 DOI: 10.1007/s11886-026-02393-1 浏览: 15
作者: Das F, Parashar S, Kulkarni A
F, D., S, P., & A, K. (2026). Impact of Hypertensive Disorders of Pregnancy on Maternal and Offspring Cardiovascular Health.. Current cardiology reports. https://doi.org/10.1007/s11886-026-02393-1
F D, S P, A K. Impact of Hypertensive Disorders of Pregnancy on Maternal and Offspring Cardiovascular Health.. Current cardiology reports. 2026; doi: 10.1007/s11886-026-02393-1
F D, S P, A K. Impact of Hypertensive Disorders of Pregnancy on Maternal and Offspring Cardiovascular Health.[J]. Current cardiology reports. 2026. DOI: 10.1007/s11886-026-02393-1.
@article{f2026,
  author = {Das F and Parashar S and Kulkarni A},
  title = {Impact of Hypertensive Disorders of Pregnancy on Maternal and Offspring Cardiovascular Health.},
  journal = {Current cardiology reports},
  year = {2026},
  doi = {10.1007/s11886-026-02393-1},
  note = {PMID: 42496753},
}
TY  - JOUR
AU  - Das F
AU  - Parashar S
AU  - Kulkarni A
TI  - Impact of Hypertensive Disorders of Pregnancy on Maternal and Offspring Cardiovascular Health.
T2  - Current cardiology reports
PY  - 2026
DO  - 10.1007/s11886-026-02393-1
AN  - PMID:42496753
ER  - 

摘要

Hypertensive disorders of pregnancy (HDP) affect 5-10% of pregnancies globally and are a leading cause of maternal and fetal morbidity and mortality. Beyond their acute obstetrics impact, HDP unmask a lifelong cardiovascular (CV) vulnerability in affected women and confer intergenerational risk to their offspring. PURPOSE OF REVIEW: In this review, we discuss the latest evidence regarding the CV risk profiles following HDP in the mothers and their offspring. RECENT FINDINGS: In mothers, HDP is associated with a 7.29-fold increased risk of new chronic hypertension (HTN) within 24 months postpartum and long-term risks of heart failure, coronary heart disease and stroke. Offspring exposed carry a 1.5-fold increased risk for adult HTN and increased risks for ischemic heart disease and stroke. We review evidence on potential pathophysiologic mechanisms including shared genetic, epigenetic programming and persistent immune dysregulation that contribute to the CV risk. We make recommendations on surveillance strategies in mothers and their offspring beginning in the immediate postpartum period and for lifelong follow-up. Management strategies of the CV risk factors, using latest guidelines are discussed. We suggest future directions for research and intervention. Integrated maternal-offspring CV care, women-specific risk prediction tools and equity focused research are needed to reduce the intergenerational burden of HDP.

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