THE COMPREHENSIVE SYSTEMATIC REVIEW OF HYPERTENSIVE DISORDERS IN PREGNANCY AND LONG TERM RISK OF MATERNAL STROKE
DOI:
https://doi.org/10.61841/df5j4g29Keywords:
Hypertensive disorders of pregnancy, maternal stroke, cardiovascular diseaseAbstract
Background: Hypertensive disorders of pregnancy (HDP) are associated with a long-term risk for cardiovascular disease among parous patients later in life. However, relatively little is known about whether HDP are associated with an increased risk for ischaemic stroke (IS) or haemorrhagic stroke (HS) in later life.
The aim: This study aims to show about the comprehensive of hypertensive disorders in pregnancy and long term risk of maternal stroke.
Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Result: In the PubMed database, the results of our search brought up 67 articles, whereas the results of our search on SagePub brought up 170 articles. The results of the search conducted for the last year of 2014 yielded a total 35 articles for PubMed and 58 articles for SagePub. The result from title screening, a total 15 articles for PubMed and 29 articles for SagePub. In the end, we compiled a total of 10 papers. We included five research that met the criteria.
Conclusion: Exposure to Hypertensive disorders of pregnancy (HDP), including PE and GH, seems to be associated with an increased risk for AS and IS among parous patients in later life. Preventive interventions may be warranted for patients who experience HDP to reduce their long-term risk for stroke.
References
Brohan MP, Daly FP, Kelly L, McCarthy FP, Khashan AS, Kublickiene K, et al. Hypertensive disorders of pregnancy and long-term risk of maternal stroke a systematic review and meta-analysis. Am J Obstet Gynecol
Miller EC, Boehme AK, Chung NT, Wang SS, Lacey J V., Lakshminarayan K, et al. Aspirin reduces long-term stroke risk in women with prior hypertensive disorders of pregnancy. Neurology. 2019;92(4):E305–16.
Karjalainen L, Tikkanen M, Rantanen K, Laivuori H, Gissler M, Ijäs P. Pregnancy-associated stroke -a systematic review of subsequent pregnancies and maternal health. BMC Pregnancy Childbirth. 2019;19(1):1–10.
Cunningham MW, LaMarca B. Risk of cardiovascular disease, end-stage renal disease, and stroke in postpartum women and their fetuses after a hypertensive pregnancy. Am J Physiol - Regul Integr Comp Physiol. 2018;315(3):R521–8.
Mureddu GF. How much does hypertension in pregnancy affect the risk of future cardiovascular event Eur Hear J Suppl [Internet]. 2023;25(Supplement_B):B111–3. Available from: https://doi.org/10.1093/eurheartjsupp/suad085
Hung SK, Lee MS, Lin HY, Chen LC, Chuang CJ, Chew CH, et al. Impact of Hypertensive Disorders of Pregnancy on the Risk of Stroke Stratified by Subtypes and Follow-Up Time. Stroke. 2022;53(2):338–44.
Fang M, Wang J, Wang Z, Chen Y, Xu W, Tao C, et al. Impact of hypertensive disorders of pregnancy on short- and long-term outcomes of pregnancy-associated hemorrhagic stroke. Front Neurol. 2023;14.
Huang CC, Huang CC, Lin SY, Chang CYY, Lin WC, Chung CH, et al. Association between hypertensive pregnancy disorders and future risk of stroke in Taiwan: A Nationwide population-based retrospective case-control study. BMC Pregnancy Childbirth. 2020;20(1):1–10.
Miller EC. Maternal Stroke Associated with Pregnancy. Vol. 28, CONTINUUM Lifelong Learning in Neurology. 2022. 93–121 p.
Dolgushina VF, Syundyukova EG, Chulkov VS, Ryabikina MG. Long-term outcomes of hypertensive disorders of pregnancy. Akusherstvo i Ginekol (Russian Fed. 2021;2021(10):14–20.
Braunthal S, Brateanu A. Hypertension in pregnancy: Pathophysiology and treatment. Vol. 7, SAGE Open Medicine. SAGE Publications Ltd; 2019.
Aronow WS. Hypertensive disorders in pregnancy. Ann Transl Med. 2017;5(12):12–4.
Khedagi AM, Bello NA. Hypertensive Disorders of Pregnancy. Cardiol Clin. 2021;39(1):77–90.
Bajpai D, Popa C, Verma P, Dumanski S, Shah S. Evaluation and Management of Hypertensive Disorders of Pregnancy. Kidney360. 2023;4(10):1512–25.
Ying W, Catov JM, Ouyang P. Hypertensive disorders of pregnancy and future maternal cardiovascular risk. J Am Heart Assoc. 2018;7(17):1–9.
Beckett AG, McFadden MD, Warrington JP. Preeclampsia history and postpartum risk of cerebrovascular disease and cognitive impairment: Potential mechanisms. Front Physiol. 2023;14(March):1–10.
Leppert MH. Are strokes declining among pregnant women with hypertensive disorders of pregnancy J Am Heart Assoc. 2020;9(15):9–11.
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