Prevention & lipidsResearch article

Adverse pregnancy outcomes and long-term cardiovascular risk: lifelong connections

Eur Heart JPublished

  • Narrative review

Authors' conclusion

Recognizing pregnancy complications as indicators of underlying cardiovascular vulnerability offers an opportunity to shift prevention upstream and promote lifelong cardiovascular health for women.

Study context

Population
Women with adverse pregnancy outcomes (hypertensive disorders of pregnancy, gestational diabetes, pre-term birth, small-for-gestational-age birth, pregnancy loss)

Main finding

As reported in the abstract

Long-term CV risk after adverse pregnancy outcomes (APOs)
  • Adverse pregnancy outcomes (APOs) (hypertensive disorders of pregnancy, gestational DM, pre-term birth, small-for-gestational-age birth, pregnancy loss) are early markers of cardiometabolic dysfunction identifying women at increased risk of CAD, HF, stroke, CKD and premature CV mortality
  • Early post-partum persistent hypertension, adverse cardiac remodelling and metabolic abnormalities mediate much of the long-term excess CV risk

Original publication

Adverse pregnancy outcomes and long-term cardiovascular risk: lifelong connections. Eur Heart J. Published 1 September 2026. doi:10.1093/eurheartj/ehag654

Summarised from the published abstract; every number is checked against it