"The observed changes will contribute to an increased peripheral resistance and blood pressure, which are of critical importance for long-term women’s cardiovascular health," she said. Counseling following a preeclamptic pregnancy and preterm delivery should include a discussion about reproduction and cardiovascular risks, she said.
And, she emphasized, "Let’s work with cardiologists."
A 2012 study that focused on a different group of women showed that collaboration between cardiologists and ob.gyns. is indeed possible.
Dr. Kublickiene said that several questions remain: What are the appropriate preventive strategies? What screening schedules should be recommended? What are the clinical targets? And, what are the treatment regimens?
"I think now clinical trials of statins and other early interventions in these women are warranted," said Dr. Kenny.
Dr. Kublickiene and Dr. Kenny said they had no disclosures. The study was funded by the Center for Gender Medicine at the Karolinska Institute, by the Karolinska Institute, and by the ALF fund of the Stockholm County Council.
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