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Tracking the Development of Cerebrovascular Risk Factors Following Pregnancy With Preeclampsia

Madeline Lederer1, Adriana Wong2, Daniela Diego3

  • 1University of Miami Miller School of Medicine, Miami, Florida.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|March 30, 2020
PubMed

Insights

Preeclampsia significantly increases the risk of developing cerebrovascular risk factors like hypertension and diabetes. Early management of these conditions is crucial to reduce long-term stroke risk in affected women.

Area of Science:

  • Obstetrics and Gynecology
  • Neurology
  • Cardiology

Background:

  • Preeclampsia is a serious pregnancy complication.
  • Cerebrovascular risk factors pose a significant threat to long-term health.
  • Understanding the post-preeclampsia trajectory of these risk factors is vital.

Purpose of the Study:

  • To assess the incidence of cerebrovascular risk factors after preeclampsia.
  • To evaluate the management of these risk factors in affected women.
  • To identify disparities in risk factor development and treatment.

Main Methods:

  • Retrospective chart review of women with preeclampsia (2012-2013).
  • Analysis of electronic medical records (EMR) for risk factor development (ICD codes) and treatment (2014-2016).
  • Comparison of risk factor development and management across racial groups and age.

Main Results:

  • Significant increases observed in hypertension (1.7x), hyperlipidemia (4.5x), migraines (2.2x), and diabetes (2x) post-preeclampsia.
  • Black non-Hispanics showed the highest rates of hypertension, obesity, and migraines.
  • Treatment rates varied, with no hyperlipidemia patients receiving statins; Black non-Hispanics had higher management rates than white Hispanics.

Conclusions:

  • Preeclampsia is associated with a marked increase in cerebrovascular risk factors.
  • There are opportunities for improved early treatment of these conditions.
  • Proactive management can potentially lower the long-term stroke risk for women with a history of preeclampsia.
Abstract

Keywords:
Pregnancyhypertensionischemic strokepreeclampsiapreventionwomen

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