妊娠期高血压：被忽视的心血管疾病风险标志物。

Gestational hypertension: a neglected cardiovascular disease risk marker.

机构信息

Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

Am J Obstet Gynecol. 2011 Apr;204(4):336.e1-9. doi: 10.1016/j.ajog.2010.11.005. Epub 2010 Dec 22.

DOI:10.1016/j.ajog.2010.11.005

PMID:21183153

Abstract

OBJECTIVE

The purpose of this study is to examine hypertension and cholesterol screening, knowledge of heart attack symptoms, and cardiovascular disease (CVD) risk factors among women with a history of gestational hypertension.

STUDY DESIGN

We used weighted 2008 National Health Interview Survey data to examine health indicators and modifiable CVD risk factors and to estimate prevalence and adjusted odds ratios for recommended CVD screening and knowledge of heart attack symptoms by hypertension history among 11,970 adult women.

RESULTS

Among women with gestational hypertension only (n = 301), 93% received the recommended screening for hypertension; 75% received screening for dyslipidemia, and 40% correctly identified 5 of 5 heart attack symptoms. The odds of CVD screenings and knowledge did not differ between women with a history of gestational hypertension and those with no hypertension. However, women with gestational hypertension had higher rates of obesity (43%), CVD (18%), and diabetes mellitus (13%), compared with women without a history of hypertension (21%, 8%, and 3%, respectively).

CONCLUSION

A history of gestational hypertension is a neglected CVD risk marker.

摘要

目的

本研究旨在检查患有妊娠高血压病史的女性中高血压和胆固醇筛查、心脏病发作症状知识以及心血管疾病 (CVD) 风险因素。

研究设计

我们使用加权 2008 年全国健康访谈调查数据，检查健康指标和可改变的 CVD 风险因素，并估计在 11970 名成年女性中，按高血压病史对推荐的 CVD 筛查和心脏病发作症状知识的流行率和调整后的比值比。

结果

在仅患有妊娠高血压的女性中（n = 301），93%接受了高血压的推荐筛查；75%接受了血脂异常筛查，40%正确识别了 5 个心脏病发作症状中的 5 个。有妊娠高血压病史的女性与无高血压病史的女性相比，CVD 筛查和知识的可能性没有差异。然而，与没有高血压病史的女性相比，患有妊娠高血压的女性肥胖症（43%）、CVD（18%）和糖尿病（13%）的发病率更高（分别为 21%、8%和 3%）。