Follow up of intima–media thickness after severe early‐onset preeclampsia

Blaauw, Judith; Souwer, Esteban T.D.; Coffeng, Sophie M.; Smit, Andries J.; Doormaal, Jasper J. van; Faas, Marijke M.; Pampus, Maria G. van

doi:10.1111/aogs.12499

Cited by 25 publications

(24 citation statements)

References 33 publications

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“…We also demonstrated significant negative associations between preeclampsia onset and average cIMT in this study. No previous studies used preeclampsia onset as a continuous variable, but two studies found insignificant cIMT differences comparing women with previous very early preeclampsia onset (before 24 weeks of gestation) or women with previous severe early‐onset preeclampsia with women with previous normotensive pregnancies . Both studies had a smaller sample size and shorter follow up compared with the present study.…”

Section: Discussioncontrasting

confidence: 67%

“…Gestational age at delivery affects CVD risk after preeclampsia, as preeclamptic women with preterm deliveries have an even higher risk . However, only few studies have tested how gestational age at preeclampsia onset is associated with CVD risk later in life . At present, it is unclear whether gestational age at the clinical onset of preeclampsia can help identify previously preeclamptic women at highest CVD risk.…”

Section: Introductionmentioning

confidence: 99%

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Early gestational age at preeclampsia onset is associated with subclinical atherosclerosis 12 years after delivery

Christensen

Kronborg

Carlsen

et al. 2017

Acta Obstet Gynecol Scand

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Section: Discussioncontrasting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Early gestational age at preeclampsia onset is associated with subclinical atherosclerosis 12 years after delivery

Christensen

Kronborg

Carlsen

et al. 2017

Acta Obstet Gynecol Scand

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“…From the electronic database search, we identified 229 potentially eligible articles; a further five were identified through other sources (Figure ). Seventy‐six full‐text articles were reviewed and 22 were selected for inclusion in the systematic review (qualitative synthesis). Fourteen of the studies were included in the meta‐analysis (quantitative synthesis) and included studies that measured CIMT at the time of PE ( n = 7), and up to 10 years postpartum ( n = 10).…”

Section: Resultsmentioning

confidence: 99%

Preclinical atherosclerosis at the time of pre‐eclamptic pregnancy and up to 10 years postpartum: systematic review and meta‐analysis

Milić

Milin-Lazović

Weissgerber

et al. 2017

Ultrasound in Obstet & Gyne

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Objectives Preeclampsia, a pregnancy-specific hypertensive disorder, has been associated with cardiovascular risk factors and vascular changes, such as acute atherosis in placental blood vessels, which are similar to early-stage atherosclerosis. The objective of this study was to determine whether women with preeclampsia have increased atherosclerotic burden, as determined by carotid intima-media thickness (CIMT), when compared to women who did not have preeclampsia. Methods We conducted a systematic review and meta-analysis of studies that reported CIMT, a non-invasive, ultrasound-based measure of subclinical atherosclerosis, in women who did vs. did not have preeclampsia. Studies were eligible if they were conducted during pregnancy or during the first decade postpartum, and if CIMT was measured in the common carotid artery. Studies published before March 7, 2016 were identified through PubMED, EMBASE and Web of Science. Two reviewers used predefined forms and protocols to independently evaluate the eligibility of all titles and abstracts, perform full text screening, data abstraction and quality assessment. Heterogeneity was assessed using the I2 statistic. Standardized mean difference was used as a measure of effect size. Results Fourteen studies were included in the meta-analysis; 7 studies at the time of preeclampsia and 10 studies up to 10 years postpartum. Three studies included measurements at both time periods. Women who had preeclampsia had significantly higher CIMT compared to those who did not, either at the time of diagnosis (SMD: 1.10, 95% CI: 0.73-1.48, p<0.001), or in the first decade postpartum (SMD: 0.58, 95% CI: 0.36-0.79, p<0.001 Conclusions Atherosclerotic load is present at the time of preeclampsia and may be one mechanism associated with preeclampsia. CIMT may offer an opportunity for early recognition of premenopausal women with atherosclerotic burden after preeclamptic pregnancies.

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“…[43][44][45][46][47] Subclinical atherosclerosis is commonly assessed by carotid intima-media thickness (cIMT), coronary artery calcium score (CACS), coronary computed tomography angiography (CCTA) and cardiac magnetic resonance imaging (CMR). [5,[46][47][48][49][50][51][52][53][54][55][56][57][58] In recent years, some groups have started to evaluate these imaging techniques in former preeclampsia patients, as discussed below.…”

Section: Cardiovascular Imagingmentioning

confidence: 99%

Determinants of future cardiovascular health in women with a history of preeclampsia

et al. 2015

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Please cite this article as: Zoet Gerbrand A, Koster Maria PH, Velthuis Birgitta K, de Groot Christianne JM, Maas Angela HEM, Fauser Bart CJM, Franx Arie, Rijn Bas B.van.Determinants of future cardiovascular health in women with a history of preeclampsia.Maturitas http://dx.doi.org/10.1016/j.maturitas. 2015.07.004 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Keywords:Preeclampsia, cardiovascular disease, risk assessment, screening, prevention Highlights  Female-specific risk factors, among which preeclampsia, may have additional value in cardiovascular screening.  Non-invasive imaging techniques can be helpful to detect early-stage cardiovascular lesions as a sign of subclinical atherosclerotic disease.  Preliminary studies show positive effects of short-term lifestyle interventions following preeclampsia.  There is a need for clinical practice guidelines that provide long-term strategies in women after preeclampsia in pregnancy to improve cardiovascular health. AbstractWomen who develop preeclampsia have an increased risk of cardiovascular disease (CVD) later in life.However, current guidelines on cardiovascular risk assessment and prevention are unclear on how and when to screen these women postpartum, and about the role of a positive history of preeclampsia in later-life CVD risk management. The aim of this review is to discuss the present knowledge on commonly used cardiovascular screening modalities available to women with a history of preeclampsia, and to discuss recent developments in early detection of CVD using cardiovascular imaging.Furthermore, we explore how female-specific risk factors may have additional value in cardiovascular screening, in particular in relatively young women, although their implementation in clinical practice is challenged by inconsistent results and lack of long-term outcome data. Non-invasive imaging techniques, e.g. coronary artery intima-media thickness (CIMT), can be helpful to detect subclinical atherosclerotic disease, and coronary artery calcium scoring (CACS) has shown to be effective in early detection of cardiovascular damage. However, whilst more short-term and long-term follow-up studies are becoming available, few studies have investigated women with a history of preeclampsia in the fourth and fifth decade of life, when early signs of premature CVD are most likely to become apparent.Further studies are needed to inform new and improved clinical practice guidelines, and provide longterm strategies to effectively prevent CVD, specifically targeted at women with a history of preeclampsia. Additionally, evaluation of feasibility, cost-effectiveness ...

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Follow up of intima–media thickness after severe early‐onset preeclampsia

Cited by 25 publications

References 33 publications

Early gestational age at preeclampsia onset is associated with subclinical atherosclerosis 12 years after delivery

Early gestational age at preeclampsia onset is associated with subclinical atherosclerosis 12 years after delivery

Preclinical atherosclerosis at the time of pre‐eclamptic pregnancy and up to 10 years postpartum: systematic review and meta‐analysis

Determinants of future cardiovascular health in women with a history of preeclampsia

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