Hypertensive disorders of pregnancy (HDP) are a group of conditions characterized by abnormally elevated blood pressure during pregnancy. HDP are one of the leading causes of maternal and fetal morbidity and mortality worldwide. There is growing evidence that prepregnancy cardiovascular risk factors significantly increase the risk of HDP. Along these lines, hypertension, diabetes mellitus, obesity, heart failure and hypercholesterolemia appear to be related to HDP. All of these can increase, to a lesser or greater degree, the risk of HDP. Although some of these variables are intertwined, they can also act as independent predictors. A preconceptional predictive tool could improve therapeutic decisions and pregnancy control in high-risk patients. This review aims to analyze the degree of correlation between HDP’s incidence and prepregnancy cardiovascular risk factors.