Evidence map›Paper›PMID 35175837›Full record

ReviewCirculation research2022

Pregnancy and Reproductive Risk Factors for Cardiovascular Disease in Women.

Anna C O'Kelly, Erin D Michos, Chrisandra L Shufelt, Jane V Vermunt, Margo B Minissian, Odayme Quesada, Graeme N Smith, Janet W Rich-Edwards, Vesna D Garovic, Samar R El Khoudary and 1 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Circulation research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 155 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed, 5 pooled it
46.6field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

155 citing papers in PubMed, 5 syntheses or guidelines pooled it, 298 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Brazilian Guideline on Menopausal Cardiovascular Health - 2024.Arquivos brasileiros de cardiologia · 2024
    Guideline
  4. Pooled it
  5. Pooled it
  6. Review
  7. Obesity, incretin-based therapies, and cardiovascular disease in women.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    Review
  8. Article
  9. Implementation strategies: bridging obstetrics and long-term care.American journal of obstetrics & gynecology MFM · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

95 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

11 authors at 10 institutions in 3 countries.

Anna C O'KellyCardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston (A.C.O., M.C.H.).
Erin D MichosCiccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, MD (E.D.M.).ORCID 0000-0002-5547-5084
Chrisandra L ShufeltBarbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA (C.L.S., M.B.M.).
Jane V VermuntDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN (J.V.V., V.D.G.).
Margo B MinissianBarbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA (C.L.S., M.B.M.).
Odayme QuesadaWomen's Heart Center, The Christ Hospital Heart and Vascular Institute, Cincinnati, OH (O.Q.).
Graeme N SmithDepartment of Obstetrics and Gynecology, Queen's University, Kingston, Ontario, Canada (G.N.S.).ORCID 0000-0002-3128-4523
Janet W Rich-EdwardsDivision of Women's Health, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (J.W.R.-E.).ORCID 0000-0001-5066-8808
Vesna D GarovicDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN (J.V.V., V.D.G.).ORCID 0000-0001-6891-0578
Samar R El KhoudaryDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, PA (S.R.E.K.).ORCID 0000-0003-2913-0821
Michael C HonigbergCardiology Division, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston (A.C.O., M.C.H.).ORCID 0000-0001-8630-5021
Mayo Clinic · USBrigham and Women's Hospital · USBroad Institute · USCedars-Sinai Medical Center · USCedars-Sinai Smidt Heart Institute · USChrist Hospital · USJohns Hopkins University · USMassachusetts General Hospital · USQueen's University · CAUniversity of Pittsburgh · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Hypothalamic Amenorrhea as a Fertility Status Marker for Cardiovascular HealthR01HD106096 · NICHD · MAYO CLINIC JACKSONVILLE · PI SHUFELT, CHRISANDRA LEE · 2021 to 2024
$3.6M
Mobile Health intervention for rural atrial fibrillationR01HL143010 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MAGNANI, JARED W. · 2019 to 2022
$3.0M
Hypertensive pregnancy disorders and future coronary artery diseaseR01HL136348 · NHLBI · MAYO CLINIC ROCHESTER · PI GAROVIC, VESNA D · 2018 to 2022
$2.6M
Compositional and Functional Alterations of HDL Over Ovarian AgingR01AG058690 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI EL KHOUDARY, SAMAR R · 2018 to 2022
$2.3M
Hypertensive Disorders of Pregnancy: Pathways to Future Cardiovascular DiseaseK23HL151867 · NHLBI · THE CHRIST HOSPITAL · PI QUESADA, ODAYME · 2020 to 2024
$799k
Is Preeclampsia and Spontaneous Preterm Delivery Associated with Vascular and Cardiac Function?K99NR018679 · NINR · CEDARS-SINAI MEDICAL CENTER · PI MINISSIAN, MARGO · 2019 to 2020
$186k
Is Spontaneous Preterm Delivery Associated with Inflammation?F31NR015725 · NINR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MINISSIAN, MARGO · 2015 to 2016
$80k
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881NHLBI NIH HHS K23 HL151867NHLBI NIH HHS R01 HL136348NHLBI NIH HHS R01 HL143010NIA NIH HHS R01 AG058690NICHD NIH HHS R01 HD106096NINR NIH HHS F31 NR015725NINR NIH HHS K99 NR018679
6 · The paper itself

Abstract

Beyond conventional risk factors for cardiovascular disease, women face an additional burden of sex-specific risk factors. Key stages of a woman's reproductive history may influence or reveal short- and long-term cardiometabolic and cardiovascular trajectories. Early and late menarche, polycystic ovary syndrome, infertility, adverse pregnancy outcomes (eg, hypertensive disorders of pregnancy, gestational diabetes, preterm delivery, and intrauterine growth restriction), and absence of breastfeeding are all associated with increased future cardiovascular disease risk. The menopause transition additionally represents a period of accelerated cardiovascular disease risk, with timing (eg, premature menopause), mechanism, and symptoms of menopause, as well as treatment of menopause symptoms, each contributing to this risk. Differences in conventional cardiovascular disease risk factors appear to explain some, but not all, of the observed associations between reproductive history and later-life cardiovascular disease; further research is needed to elucidate hormonal effects and unique sex-specific disease mechanisms. A history of reproductive risk factors represents an opportunity for comprehensive risk factor screening, refinement of cardiovascular disease risk assessment, and implementation of primordial and primary prevention to optimize long-term cardiometabolic health in women.

Indexed as

Cardiovascular DiseasesFemaleHumansPregnancyPregnancy Complications, CardiovascularPregnancy OutcomeReproductionRisk Factorsblood pressurecardiovascular diseasespregnancyrisk factorswomen

Identifiers

PMID35175837
PMCPMC8870397
OpenAlexW4213179458

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.