@article {Jarvie1187, author = {Jennifer L Jarvie and Torri D Metz and Melinda B Davis and Jessica C Ehrig and David P Kao}, title = {Short-term risk of cardiovascular readmission following a hypertensive disorder of pregnancy}, volume = {104}, number = {14}, pages = {1187--1194}, year = {2018}, doi = {10.1136/heartjnl-2017-312299}, publisher = {BMJ Publishing Group Ltd}, abstract = {Objective Women with pregnancies complicated by hypertensive disorders of pregnancy (HDP) have increased long-term cardiovascular (CV) risk. We sought to determine if they demonstrate increased short-term CV risk.Methods Using administrative records, all hospital-based deliveries in Florida from 2004 to 2010 and subsequent readmission to any Florida hospital within 3 years of index delivery were identified. Deliveries and clinical diagnoses were determined using International Classification of Diseases, Ninth Revision, Clinical Modification codes. HDP included pregnancies complicated by gestational hypertension, pre-eclampsia or eclampsia. Outcomes were CV readmission (acute myocardial infarction, stroke or heart failure), non-CV readmission and any readmission within 3 years of delivery excluding subsequent deliveries. Associations were determined using multivariate logistic regression.Results Among 1 452 926 records from delivering mothers of singleton infants (mean age 27.2{\textpm}6.2 years; 52\% white, 23\% African American (AA), 18\% Hispanic), there were 4054 CV and 259 252 non-CV readmissions. Women with HDP had higher CV readmission rates (6.4 vs 2.5/1000 deliveries; P\<0.001). AA women had higher rates of CV readmission than whites or Hispanics (6.8 vs 1.7 vs 1.0/1000 deliveries, respectively; P\<0.001). Women with HDP had higher multivariate risk of CV readmission (OR 2.41; 95\% CI 2.08 to 2.80) and any readmission (OR 1.13; 95\% CI 1.10 to 1.15). Compared with whites, AA women had higher risk for CV readmission (OR 3.60; 95\% CI 3.32 to 3.90) after adjustment for HDP.Conclusion Women with HDP had twice the risk of CV readmission within 3 years of delivery, with higher rates among AA women. More work is needed to explore preventive strategies for HDP-associated events.}, issn = {1355-6037}, URL = {https://heart.bmj.com/content/104/14/1187}, eprint = {https://heart.bmj.com/content/104/14/1187.full.pdf}, journal = {Heart} }