Adverse pregnancy conditions, infertility, and future cardiovascular risk: implications for mother and child
Open accessAbstract
Adverse pregnancy conditions in women are common and have been associated with adverse cardiovascular and metabolic outcomes such as myocardial infarction and stroke. As risk stratification in women is often suboptimal, recognition of non-traditional risk factors such as hypertensive disorders of pregnancy and premature delivery has become increasingly important. Additionally, such conditions may also increase the risk of cardiovascular disease in the children of afflicted women. In this review, we aim to highlight these conditions, along with infertility, and the association between such conditions and various cardiovascular outcomes and related maternal risk along with potential translation of risk to offspring. We will also discuss proposed mechanisms driving these associations as well as potential opportunities for screening and risk modification.
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Fertility therapy may confer unintended health risks to women.
“Although fertility therapy represents a safe and feasible option for many couples with infertility, these treatments may confer unintended health risks to women.”
From Cardiovascular Risk Following Fertility Therapy (2017) · cites this paper as [19]
Recent observational data indicate double the risk of severe maternal morbidity in fertility-treated pregnancy when compared with naturally conceived pregnancy.
“For example, recent observational data indicate double the risk of severe maternal morbidity (13,18,19) in fertility-treated pregnancy when compared with naturally conceived pregnancy.”
From Cardiovascular Risk Following Fertility Therapy (2017) · cites this paper as [19]
Fertility therapy is associated with short-term maternal complications.
“This question is increasingly relevant because fertility therapy is widely used to achieve pregnancy among older women, is associated with short-term maternal complications (13,18,19), and its long-term CV safety is unknown.”
From Cardiovascular Risk Following Fertility Therapy (2017) · cites this paper as [19]
Fertility therapy is widely used to achieve pregnancy among older women.
“This question is increasingly relevant because fertility therapy is widely used to achieve pregnancy among older women, is associated with short-term maternal complications (13,18,19), and its long-term CV safety is unknown.”
From Cardiovascular Risk Following Fertility Therapy (2017) · cites this paper as [19]
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Wu, P., Gulati, M., Kwok, C. S., Wong, C. W., Narain, A., O'Brien, S., Chew‐Graham, C. A., Verma, G., Kadam, U. T., & Mamas, M. A. (2018) · Journal of the American Heart Association · doi:10.1161/jaha.117.007809 · Cited by 204 · see citing works
Cardiovascular Risk Following Fertility Therapy
Dayan, N., Filion, K. B., Okano, M., Kilmartin, C., Reinblatt, S., Landry, T., Basso, O., & Udell, J. A. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2017.07.753 · Cited by 94 · see citing works
- Authors
- Park, K., Wei, J., Minissian, M., Bairey Merz, C. N., & Pepine, C. J.
- Affiliations
- University of Florida (US)
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Pepine, Carl J.
- Venue
- Cardiovascular Drugs and Therapy
- Published
- 2015-06-03
- Volume
- 29
- Issue
- 4
- Pages
- 391-401
- ISSN
- 0920-3206 (ISSN-L)
- 1573-7241
- PMC
- PMC4758514
- OpenAlex
- W605094320
- Cited by
- 40
- References
- 152
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 5 · 2018: 10 · 2017: 3 · 2016: 1 · 2015: 1
- FWCI
- 5.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cardiovascular Drugs and Therapy (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR001427, n01hv068164-006, n01hv068162-009, n01hv068161-005, UL1TR000124, n01hv068163-006, UL1TR000064)
- U.S. Public Health Service (U0164829)
- National Institute on Aging (R03AG032631)
- National Heart, Lung, and Blood Institute (N01-HV68162, U01HL649141, N01 HV068162, T32HL069751, N01HV68163, N01 HV068164, N01- HV-068161, U01 HL649241, N01 HV068163, T32HL69751, R01HL090957, K23HL105787, T32HL116273)
- National Institute of Nursing Research (F31NR015725)
- National Center for Research Resources (MO1-RR00425, M01RR000425)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Keywords
- adverse pregnancy outcomes, infertility, cardiovascular risk, hypertensive disorders of pregnancy, preterm birth, maternal cardiovascular disease, offspring cardiovascular risk, risk stratification, risk factor control, screening, pathophysiological mechanisms
- MeSH terms
- Cardiovascular Diseases, Child, Female, Humans, Infertility, Mothers, Pregnancy, Pregnancy Complications, Risk Factors
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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