Cardiologist Garima Sharma speaks about adverse pregnancy outcomes and important risk factors for cardiovascular disease, in two separate discussions focusing on health care disparities and monitoring women with pregnancy complications or preterm deliveries.
Yeah. Hello everybody. My name is Gary ma Sharma. I'm an assistant professor of medicine at the tutoring center for prevention of cardiovascular disease at the division of cardiology at the johNS Hopkins University School of Medicine. And I am excited to talk about two important talks that will be presenting at the American Heart Association scientific conference in november and also talk about two important abstracts that our team will be presenting as well to do important talks that we're going to be presenting our own adverse pregnancy outcomes and important an independent risk factor for cardiovascular disease as well as what can be done in terms of lifestyle interventions for patients who have had adverse pregnancy outcomes and preterm delivery. So the focus is really on talking about adverse pregnancy outcomes as independent risk factors for cardiovascular disease. There's enough data now that hypertensive disorders of pregnancy, especially pretty clumsy A is associated with premature mortality, premature coronary disease, premature cardiovascular disease, premature aging as well as premature heart failure in women who have it. Um And there is an increased recognition that these adverse pregnancy outcomes, although they may be different disorders have shared pathogen insists. Um very short and very short words um adverse pregnancy outcomes are gestational diabetes, preterm delivery, hypertensive disorders of pregnancy, small for gestational age infants and they all have shared pathogenesis. Um it's important to recognize these women early in the postpartum timeframe and talk about cardiovascular prevention, cardiovascular risk stratification and lifestyle interventions in the postpartum time frame. It's also important for clinicians to take a very important and detailed pregnancy history so that they can recognize these women who have had these complications um and really focus on prevention in the post part of time frame. The two important abstracts that we are presenting at this year's scientific session focus on health care disparities in adverse pregnancy outcomes. We use the boston birth cohort which is a high risk mother baby cohort and explored the prevalence of cardiovascular risk factor profile and adverse pregnancy outcomes such as preterm birth, preeclampsia and gestational diabetes. And we also then did a race based and a place based analyses in understanding the disparities um in adverse pregnancy outcomes in different race ethnicity groups. Our two abstracts are led by Louis and shot who is going to be looking at cardiovascular risk factor profiles and gestational diabetes based on maternal nativity and duration of residence. And she is a baby resident. And our second abstract is looking at cardiovascular risk factor profiles um and prevalence of preterm delivery in the same population based on maternal activity and duration of residents. And it's led by Ellen box from uh the macaroni center. We're very proud to present these to abstracts in a nutshell will be found that U. S. Born women had worse cardiovascular risk factor profiles compared to their foreign counterparts. And then we divided the foreign born counterparts into those that had stayed in the US for less than 10 years versus greater than 10 years. And we found that the cardiovascular risk factor profile worsen with duration of residents among all races and ethnicities probably focusing on the important contribution of acculturation and unhealthy assimilation um in the United States, in the immigrant population. But more importantly, these abstracts focus on the disparities um in preterm birth, gestational diabetes and preeclampsia in the burden population. That's that's, thank you. Yeah. Mhm.