Evidence map›Paper›PMID 31564189›Full record

Observational studyJournal of the American Heart Association2019

Association of Adverse Pregnancy Outcomes With Hypertension 2 to 7 Years Postpartum.

David M Haas, Corette B Parker, Derek J Marsh, William A Grobman, Deborah B Ehrenthal, Philip Greenland, C Noel Bairey Merz, Victoria L Pemberton, Robert M Silver, Shannon Barnes and 16 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02231398 (Pregnancy as a Window to Future Cardiovascular Health), which is not on this map. Cited by 84 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02231398 completednot on this map

Pregnancy as a Window to Future Cardiovascular Health: Adverse Pregnancy Outcomes as Predictors of Increased Risk Factors for Cardiovascular Disease

TypeobservationalSponsorRTI InternationalRan2014 to 2020Enrolled4,509ConditionsPregnancy Complicated by Cardiovascular Disorders as Postpartum Condition, Delivered During Previous Episode, Breathing-Related Sleep Disorder
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Subtypes of Hypertension 2 to 7 Years After First Pregnancy.Hypertension (Dallas, Tex. : 1979) · 2026
    Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 18 institutions in 2 countries.

David M HaasIndiana University School of Medicine Indianapolis IN.
Corette B ParkerRTI International Research Triangle Park NC.
Derek J MarshRTI International Research Triangle Park NC.
William A GrobmanNorthwestern University Feinberg School of Medicine Chicago IL.
Deborah B EhrenthalUniversity of Wisconsin School of Medicine and Public Health Madison WI.
Philip GreenlandNorthwestern University Feinberg School of Medicine Chicago IL.
C Noel Bairey MerzSmidt Cedars-Sinai Heart Institute Los Angeles CA.
Victoria L PembertonNational Heart, Lung, and Blood Institute Bethesda MD.
Robert M SilverUniversity of Utah School of Medicine Salt Lake City UT.
Shannon BarnesIndiana University School of Medicine Indianapolis IN.
Rebecca B McNeilRTI International Research Triangle Park NC.
Kirsten ClearyColumbia University School of Medicine New York NY.
Uma M ReddyEunice Kennedy Shriver National Institute of Child Health and Human Development Bethesda MD.
Judith H ChungUniversity of California-Irvine Irvine CA.
Samuel ParryUniversity of Pennsylvania School of Medicine Philadelphia PA.
Lauren H TheilenUniversity of Utah School of Medicine Salt Lake City UT.
Elizabeth A BlumenthalUniversity of California-Irvine Irvine CA.
Lisa D LevineUniversity of Pennsylvania School of Medicine Philadelphia PA.
Brian M MercerCase Western Reserve University-The MetroHealth System Cleveland OH.
Hyagriv SimhanUniversity of Pittsburgh School of Medicine Pittsburgh PA.
LuAnn PolitoCase Western Reserve University-The MetroHealth System Cleveland OH.
Ronald J WapnerColumbia University School of Medicine New York NY.
Janet CatovUniversity of Pittsburgh School of Medicine Pittsburgh PA.
Ida ChenLos Angeles Biomedical Research Institute Los Angeles CA.
George R SaadeUniversity of Texas Medical Branch Galveston TX.
NHLBI nuMoM2b Heart Health Study
RTI International · USIrvine University · USNorthwestern University · USUniversity of Pennsylvania · USUniversity of Pittsburgh · USUniversity of Utah · USCase Western Reserve University · USCedars-Sinai Smidt Heart Institute · USColumbia University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USIndiana University – Purdue University Indianapolis · USIndiana University School of MedicineMetroHealth Medical Center · USNational Heart Lung and Blood Institute · USThe Lundquist Institute · USThe University of Texas Medical Branch at Galveston · USUniversity of Wisconsin–Madison · USUniversity School · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
Pregnancy as a Window to Future Cardiovascular Health: Adverse Pregnancy Outcomes Supplement RequestU10HL119991 · NHLBI · RESEARCH TRIANGLE INSTITUTE · PI PARKER, CORETTE BREEDEN · 2013 to 2018
$12.6M
Institute for Clinical and Translational ScienceUL1TR000153 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M · 2012 to 2015
$12.1M
Pregnancy as a Window for Future Cardiovascular HealthU10HL119992 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GROBMAN, WILLIAM ADAM · 2013 to 2016
$536k
Pregnancy as a Window to Future Cardiovascular HealthU10HL120034 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WAPNER, RONALD · 2013 to 2016
$483k
Pregnancy as a Window to Future Cardiovascular HealthU10HL120018 · NHLBI · UNIVERSITY OF UTAH · PI SILVER, ROBERT M. · 2013 to 2016
$395k
Pregnancy as a Window to Future Cardiovascular HealthU10HL120006 · NHLBI · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI SIMHAN, HYAGRIV N · 2013 to 2016
$218k
Pregnancy as a Window to Future Cardiovascular HealthU10HL119990 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI HAAS, DAVID M. · 2013 to 2016
$202k
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR000153NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR001108NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002548NHLBI NIH HHS U10 HL119989NHLBI NIH HHS U10 HL119990NHLBI NIH HHS U10 HL119991NHLBI NIH HHS U10 HL119992NHLBI NIH HHS U10 HL119993NHLBI NIH HHS U10 HL120006NHLBI NIH HHS U10 HL120018NHLBI NIH HHS U10 HL120019NHLBI NIH HHS U10 HL120034
6 · The paper itself

Abstract

Background Identifying pregnancy-associated risk factors before the development of major cardiovascular disease events could provide opportunities for prevention. The objective of this study was to determine the association between outcomes in first pregnancies and subsequent cardiovascular health. Methods and Results The Nulliparous Pregnancy Outcomes Study Monitoring Mothers-to-be Heart Health Study is a prospective observational cohort that followed 4484 women 2 to 7 years (mean 3.2 years) after their first pregnancy. Adverse pregnancy outcomes (defined as hypertensive disorders of pregnancy, small-for-gestational-age birth, preterm birth, and stillbirth) were identified prospectively in 1017 of the women (22.7%) during this pregnancy. The primary outcome was incident hypertension (HTN). Women without adverse pregnancy outcomes served as controls. Risk ratios (RR) and 95% CIs were adjusted for age, smoking, body mass index, insurance type, and race/ethnicity at enrollment during pregnancy. The overall incidence of HTN was 5.4% (95% CI 4.7% to 6.1%). Women with adverse pregnancy outcomes had higher adjusted risk of HTN at follow-up compared with controls (RR 2.4, 95% CI 1.8-3.1). The association held for individual adverse pregnancy outcomes: any hypertensive disorders of pregnancy (RR 2.7, 95% CI 2.0-3.6), preeclampsia (RR 2.8, 95% CI 2.0-4.0), and preterm birth (RR 2.7, 95% CI 1.9-3.8). Women who had an indicated preterm birth and hypertensive disorders of pregnancy had the highest risk of HTN (RR 4.3, 95% CI 2.7-6.7). Conclusions Several pregnancy complications in the first pregnancy are associated with development of HTN 2 to 7 years later. Preventive care for women should include a detailed pregnancy history to aid in counseling about HTN risk. Clinical Trial Registration URL: http://www.clinicaltrials.gov Unique identifier: NCT02231398.

Indexed as

Blood PressureAdultBirth WeightFemaleGestational AgeHumansHypertensionIncidenceInfant, NewbornInfant, PrematureInfant, Small for Gestational AgePregnancyPregnancy ComplicationsPregnancy OutcomePrognosisProspective Studiesadverse pregnancy outcomeshypertensionpreeclampsiapreterm birthrisk

Identifiers

PMID31564189
PMCPMC6806043
OpenAlexW2976010016

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.