Cardio-oncology & other

Cardiovascular Screening Rates With Establishment of Postpartum Cardiovascular Care Pathway for Hypertensive Disorders of Pregnancy

JACC AdvPublished retrospective cohort study

Authors' conclusion

Implementation of a postpartum cardiovascular care pathway is feasible and is associated with significantly increased rates of cardiometabolic risk factor screening ordered in the first year postpartum.

Study context

Population
Postpartum adults with recent pregnancies complicated by hypertensive disorders of pregnancy (HDP), Inova Health System
Participants
113 vs 179
Exposure
Rates of cardiovascular screening ordered by cardiology in the first year postpartum before and after establishment of a postpartum cardiovascular care pathway
  • Cardio-obstetrics cohortn = 113
  • Historical cohortn = 179
Outcome
Baseline characteristics (age, race/ethnicity, parity, prior history of HDP, rates of pre-eclampsia)

Main finding

As reported in the abstract

Mean age across both cohorts

33 years

Observational data: associations, not effects.

Further findings

Rates of screening ordered · first year postpartum

Lipid panel

Lipoprotein(a)

Apolipoprotein B

Hemoglobin A1c

  • Rates of screening ordered: all P < 0.001

Prepregnancy and postpregnancy cardiometabolic health parameters; social determinants of health and psychological health screening

Elevated rates of risk factors across both cohorts

Original publication

Cardiovascular Screening Rates With Establishment of Postpartum Cardiovascular Care Pathway for Hypertensive Disorders of Pregnancy. JACC Adv. Published 21 August 2025. doi:10.1016/j.jacadv.2025.102088

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