Review ArticlesPregnancy Complications as a Window to Future Cardiovascular DiseaseDassanayake, Maya MD*; Langen, Elizabeth MD†; Davis, Melinda B. MD†,‡Author Information From the *Department of Internal Medicine, University of Michigan, Ann Arbor, MI †Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI ‡ University of Michigan, Ann Arbor, MI. Disclosure: The authors have no conflicts of interest to report. Correspondence: Melinda B. Davis, MD, FACC, Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, 1500 E Medical Center Drive, Ann Arbor, MI 48109. E-mail: email@example.com. Cardiology in Review: January/February 2020 - Volume 28 - Issue 1 - p 14-19 doi: 10.1097/CRD.0000000000000253 Buy Metrics Abstract Pregnancy is a time of significant hemodynamic, metabolic, and hormonal stress that can unmask underlying subclinical cardiovascular abnormalities, and pregnancy-related complications may serve as early warning signs for future risk of cardiovascular disease. The increased recognition of these sex-specific risk factors could identify women who may benefit from more intensive risk factor modification to reduce morbidity and mortality later in life. In this review, we describe several pregnancy-related complications that have been associated with the risk of cardiovascular disease, including hypertensive disorders of pregnancy, gestational diabetes mellitus, preterm delivery, and pregnancy loss. Pregnancy-associated risk factors must be identified to fully assess a woman’s future cardiovascular risk and may influence strategies for risk reduction. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.