Pregnancy and risk of ischemic heart disease

There may be some complications that may arise during pregnancy emerged as a lifelong risk factor for ischemic heart disease, This is the question that begins a recent study, the results of which have been published in the journal british journal medicine, Ischemic heart disease or coronary disease occurs when the arteries that supply blood to the heart become partially or completely blocked, preventing blood flow.

Those responsible for this study looked at the five main risk factors associated with pregnancy (premature birth, low birth weight in relation to gestational age, preeclampsia, hypertensive disorders) among 2,195,266 women (with no history of heart disease). and gestational diabetes) were analyzed. First pregnancy in Sweden between 1973 and 2015. Going deeper into the results of this analysis, we see that gestational diabetes (occurs when the body does not produce enough insulin during pregnancy) and preeclampsia (a form of high blood pressure that may present itself during pregnancy) increased the risk of ischemic heart disease by 54 and 30%, respectively. increased.

disorders related to blood pressure increased during pregnancy may double the risk of ischemic heart disease, He part premature (before the 37th week of pregnancy) or giving birth to a child low birth weight babies was associated with a 72% and 10% increased risk, respectively.

About 30% of the women who participated in the study had at least one adverse outcome during their pregnancy.

About 30% of the women who participated in the study had at least one adverse outcome during their pregnancy. who had multiples, either during one pregnancy or in separate, reported one increased risk of ischemic heart disease,

Most risk indices were highest in the first 10 years after delivery and then decreased. The investigators indicated that the difference in rates of events associated with adverse outcomes during pregnancy increased with additional follow-up time. “For example, the adjusted hazard ratio for ischemic heart disease in the first 10 years associated with preterm birth was 1.72, with preeclampsia it was 1.54 and with other hypertensive disorders of pregnancy it was 2.09.”

“However, low birth weight relative to gestational age was associated with higher risk of ischemic heart disease 10–19 years after delivery, and gestational diabetes with the highest risk at 20–29 years after delivery,” he says. “The difference in incidence rates associated with each adverse pregnancy outcome (ie, additional ischemic heart disease) after increased with additional follow-up at the age of .

“The findings of the present study have important clinical implications. All major adverse pregnancy outcomes are now should be recognized as independent risk factors for ischemic heart disease”, say the authors, criticizing, however, that adverse outcomes during pregnancy are still not recognized as potential cardiovascular risks, particularly in primary care.

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