Tracking the Development of Risk Factors for Vascular Disease After Pregnancy with Pre-Eclampsia [16A]

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Women with a history of preeclampsia have a higher lifetime risk for cardiovascular disease and cerebrovascular disease. Therefore, tracking the development of risk factors for heart disease and stroke after preeclampsia is necessary.


This is a retrospective chart review of women who were diagnosed with preeclampsia at Jackson Memorial Hospital between 2012-2013 and subsequently followed up within the Jackson Health System between 2014-2016. EMR’s were reviewed to determine whether these women developed hypertension, hyperlipidemia, migraines, obesity, and diabetes mellitus 2-3 years after an event of preeclampsia and whether these conditions were managed with medication. Descriptive statistics were calculated using SAS statistical software.


183 women met inclusion criteria (average age of 32.3 years). Controlling for preexisting conditions, 14.2% (22/183) of women with a history of preeclampsia developed hypertension, 3.8% (7/183) developed dyslipidemia, 3.8% (7/183) developed migraine, 3.8% (7/183) developed obesity, and 4.9% (9/183) developed diabetes mellitus within 2-3 years. The mean duration of follow up care was 2.9 years after preeclampsia. 73.6% (42/57) of all hypertensive women were prescribed an antihypertensive medication, 88.9% (16/18) women with diabetes were on pharmacologic therapy, yet 0% (0/10) women with dyslipidemia were prescribed a statin.


During short-term follow-up after pregnancy with preeclampsia, a significant group of women develop risk factors for cardiovascular disease. Not all patients with these risk factors receive optimal care. Our data suggest a need for the development of structured interventions to reduce stroke and myocardial infarction incidence in this population.

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