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1264 Hypertension December 2018 raises the intriguing possibility that central nervous system vascular damage at delivery may contribute to increased risks for stroke and cognitive decline later in life. The association between cognitive impairment and HDP was first identified on the basis of subjective complaints. New studies are finding objective evidence that stems from neurocognitive testing and brain imaging findings.

Using a validated questionnaire to identify women with hypertensive pregnancies, we have previously reported that women with histories of hypertensive pregnancies, compared with those with normotensive pregnancies only, performed worse on all measures of processing speed. 7 In contrast to the current study, we reported that the differences remained significant in favor of normotensive women after accounting for similar covariates. 7 This difference may be related to the older age of our …