Cardio-oncology & other

Life’s Essential 8 and cardiovascular disease in women with a history of adverse pregnancy outcomes

Eur J Prev CardiolPublished Prospective cohort study

Main finding · Total CVD, women with prior APOsResult — go to the resultHazard ratio 0.43 95% CI 0.29–0.65

Authors' conclusion

Among women with a history of APOs, better CVH as assessed using LE8 was associated with a significantly lower incidence of CVD, particularly CHD and AF. The excess risk associated with APOs appears to be attenuated among those with a high LE8 score.

Study context

Population
Women with a history of adverse pregnancy outcomes (APOs), UK Biobank2,263 with prior APOs
Exposure
Top vs bottom tertile of Life's Essential 8 score
Outcome
Incident total CVD
Follow-up
Median 13.5 years
Methodological detailsUK Biobank
  • UK Biobank

Main finding

Total CVD, women with prior APOs

Hazard ratio

0.43

95% CI 0.29–0.65

T3vs T1
HR 0.43 (95% CI 0.29–0.65)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
CHD, women with prior APOs0.30 (0.17–0.55)
AF, women with prior APOs0.47 (0.24–0.91)

Total cardiovascular disease (CVD), women without APOs

Similar trend in women without APOs, HR
0.55 (0.53, 0.58) (95% CI)

Long-term CV risk, high LE8 score: prior APOs vs no prior APOs

Similar long-term CV risk with high LE8 score, prior APOs vs no prior APOs
0.95 (0.63, 1.44)

Original publication

Life’s Essential 8 and cardiovascular disease in women with a history of adverse pregnancy outcomes. Eur J Prev Cardiol. Published 31 January 2025. doi:10.1093/eurjpc/zwaf021

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