Evidence map›Paper›PMID 40485443›Full record

ArticleHypertension (Dallas, Tex. : 1979)2025

Hypertension in Pregnancy Linked to Cerebral Small Vessel Disease 15 Years Later.

Rowina F Hussainali, Maria C Adank, Sander Lamballais, Meike W Vernooij, M Arfan Ikram, Eric A P Steegers, Eliza C Miller, Sarah Schalekamp-Timmermans

Abstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Automated optical coherence tomography quantification of retinal wall-to-lumen alterations in preeclampsia.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
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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

8 authors.

Rowina F HussainaliDepartment of Epidemiology (R.F.H., S.L., M.W.V., M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.
Maria C AdankGeneration R Study Group (R.F.H., M.C.A., S.S.-T.), Erasmus MC University Medical Center Rotterdam, the Netherlands.ORCID 0000-0001-9764-7000
Sander LamballaisDepartment of Epidemiology (R.F.H., S.L., M.W.V., M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.ORCID 0000-0003-3118-6330
Meike W VernooijDepartment of Epidemiology (R.F.H., S.L., M.W.V., M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.ORCID 0000-0003-4658-2176
M Arfan IkramDepartment of Epidemiology (R.F.H., S.L., M.W.V., M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands.ORCID 0000-0003-0372-8585
Eric A P SteegersDepartment of Obstetrics and Gynaecology (R.F.H., M.C.A., E.A.P.S., S.S.-T.), Erasmus MC University Medical Center Rotterdam, the Netherlands.ORCID 0000-0001-6658-9274
Eliza C Miller *Department of Neurology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY (E.C.M.).ORCID 0000-0002-7108-8906
Sarah Schalekamp-Timmermans *Department of Obstetrics and Gynaecology (R.F.H., M.C.A., E.A.P.S., S.S.-T.), Erasmus MC University Medical Center Rotterdam, the Netherlands.

Funding

Investigating Pathways from Adverse Pregnancy Outcomes to Alzheimer's Disease and Related Dementias: the nuMoM2b-Brain StudyR01AG085475 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Eliza C Miller · 2024 to 2026
$5.8M
Vascular Contributions to Cognitive Impairment after Adverse Pregnancy Outcomes: the nuMoM2b-Heart Health StudyR01NS122815 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Eliza C Miller · 2021 to 2026
$3.7M
Neurovascular Unit Dysfunction in Women with Severe PreeclampsiaK23NS107645 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MILLER, ELIZA C · 2019 to 2023
$1.1M
Pregnancy complications and the development of Alzheimer's disease and related dementias in women in the Adult Changes in Thought studyR21AG069111 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MILLER, ELIZA C · 2020 to 2021
$460k
NIA NIH HHS R01 AG085475NIA NIH HHS R21 AG069111NINDS NIH HHS K23 NS107645NINDS NIH HHS R01 NS122815
6 · The paper itself

Abstract

backgroundSubstantial evidence suggests an association between hypertensive disorders of pregnancy and long-term cerebrovascular health. We aimed to determine the associations between hypertensive disorders of pregnancy and markers of cerebral small vessel disease 15 years after pregnancy.

methodsThis was a nested cohort study embedded in a population-based prospective cohort followed from early pregnancy. We included 538 women, 445 (82.8%) with normotensive index pregnancies, and 93 (17.2%) with hypertensive disorders in the index pregnancy. Fifteen years after the index pregnancy (median, 14.6 years; 90% range, 14.0-15.7 years), women underwent magnetic resonance imaging to assess brain tissue and white matter hyperintensity volume, lacunar infarcts, and cerebral microhemorrhages as markers of cerebral small vessel disease.

resultsWomen with prior hypertensive disorders of pregnancy had higher white matter hyperintensity volume compared with women with previous normotensive pregnancy (adjusted β, 0.32 [95% CI, 0.08-0.56]). This association was driven by women with gestational hypertension, who had higher white matter hyperintensity volume compared with women with previous normotensive pregnancy (adjusted β, 0.39 [95% CI, 0.10-0.67]). The effect was larger in those with gestational hypertension who developed chronic hypertension after the index pregnancy. No differences were found in infarcts or cerebral microhemorrhages.

conclusionsIn a prospective cohort of midlife Dutch women, those with a history of hypertensive disorders of pregnancy, particularly gestational hypertension, showed some signs of cerebral small vessel disease, compared with those with normotensive pregnancies. These results support epidemiological data suggesting that not only preeclampsia but also gestational hypertension is associated with long-term cerebrovascular risk.

Indexed as

Cerebral Small Vessel DiseasesHypertension, Pregnancy-InducedAdultFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMiddle AgedPregnancyProspective StudiesRisk FactorsWhite Mattercerebral small vessel diseaseshypertensionhypertension, pregnancy-inducedpregnancystroke, lacunar

Identifiers

PMID40485443
PMCPMC12266966

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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.