Prevalence and Nature of Pregnancy-Related Complications in Patients With Fibromuscular Dysplasia in the European / International FMD Registry

Pappaccogli, Marco; Prejbisz, Aleksander; Ciurică, Simina; Bruno, Rossella; Aniszczuk-Hybiak, Anna; Debiève, Frédéric; Delmotte, P.; Monaco, Silvia Di; Jarraya, F.; Gordin, Daniel; Kosiński, Przemysław; Maas, Angela H.E.M.; Minuz, P.; Toubiana, Laurent; Vinck, Wouter; Leeuw, Peter de; Januszewicz, A.; Persu, Alexandre

doi:10.1097/01.hjh.0000573628.78712.ee

Cited by 2 publications

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“…In women diagnosed with fibromuscular dysplasia (FMD) before pregnancy, further evaluation of other vascular beds should be performed to exclude any additional arterial damage [340]. Achievement of optimal BP control and, if indicated, renal artery revascularization are recommended before conception, because undiagnosed and untreated FMD can increase the risk of pregnancy-related complications [1086].…”

Section: Hypertension In Specific Settingsmentioning

confidence: 99%

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

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Co-Chair

Brunström

et al. 2023

Journal of Hypertension

1,126

280

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Document Reviewers: Luis Alcocer (Mexico), Christina Antza (Greece), Mustafa Arici (Turkey), Eduardo Barbosa (Brazil), Adel Berbari (Lebanon), Luís Bronze (Portugal), John Chalmers (Australia), Tine De Backer (Belgium), Alejandro de la Sierra (Spain), Kyriakos Dimitriadis (Greece), Dorota Drozdz (Poland), Béatrice Duly-Bouhanick (France), Brent M. Egan (USA), Serap Erdine (Turkey), Claudio Ferri (Italy), Slavomira Filipova (Slovak Republic), Anthony Heagerty (UK), Michael Hecht Olsen (Denmark), Dagmara Hering (Poland), Sang Hyun Ihm (South Korea), Uday Jadhav (India), Manolis Kallistratos (Greece), Kazuomi Kario (Japan), Vasilios Kotsis (Greece), Adi Leiba (Israel), Patricio López-Jaramillo (Colombia), Hans-Peter Marti (Norway), Terry McCormack (UK), Paolo Mulatero (Italy), Dike B. Ojji (Nigeria), Sungha Park (South Korea), Priit Pauklin (Estonia), Sabine Perl (Austria), Arman Postadzhian (Bulgaria), Aleksander Prejbisz (Poland), Venkata Ram (India), Ramiro Sanchez (Argentina), Markus Schlaich (Australia), Alta Schutte (Australia), Cristina Sierra (Spain), Sekib Sokolovic (Bosnia and Herzegovina), Jonas Spaak (Sweden), Dimitrios Terentes-Printzios (Greece), Bruno Trimarco (Italy), Thomas Unger (The Netherlands), Bert-Jan van den Born (The Netherlands), Anna Vachulova (Slovak Republic), Agostino Virdis (Italy), Jiguang Wang (China), Ulrich Wenzel (Germany), Paul Whelton (USA), Jiri Widimsky (Czech Republic), Jacek Wolf (Poland), Grégoire Wuerzner (Switzerland), Eugene Yang (USA), Yuqing Zhang (China).

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Section: Hypertension In Specific Settingsmentioning

confidence: 99%

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

Chairperson

Co-Chair

Brunström

et al. 2023

Journal of Hypertension

1,126

280

View full text Add to dashboard Cite

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“…Patients who experienced pregnancy complications were younger at fibromuscular dysplasia diagnosis and had lower prevalence of cerebrovascular fibromuscular dysplasia (30% versus 52%; P =.003). Two patients had acute cerebrovascular events: one multifocal cervical arterial dissection 19 days after delivery and one SAH due to intracranial aneurysm rupture at 24 weeks gestation 104 . One case of a woman with fibromuscular dysplasia and prior carotid dissection with ischemic stroke who had a spontaneous forceps-assisted vaginal delivery at 34 weeks’ gestation without maternal or fetal complications has been reported 105 .…”

Section: Conditions Leading To Special Riskmentioning

confidence: 99%

“…Two patients had acute cerebrovascular events: one multifocal cervical arterial dissection 19 days after delivery and one SAH due to intracranial aneurysm rupture at 24 weeks gestation. 104 One case of a woman with fibromuscular dysplasia and prior carotid dissection with ischemic stroke who had a spontaneous forceps-assisted vaginal delivery at 34 weeks' gestation without maternal or fetal complications has been reported. 105 No evidence suggests that cesarean delivery is safer than vaginal delivery in women with a history of cervical artery dissection.…”

Section: Key Pointsmentioning

confidence: 99%

Maternal Stroke Associated With Pregnancy

Miller¹

2022

CONTINUUM: Lifelong Learning in Neurology

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PURPOSE OF REVIEW: This article summarizes current knowledge of the epidemiology, pathophysiology, prevention, and treatment of cerebrovascular disease in pregnant and postpartum women.RECENT FINDINGS: Stroke is a leading cause of maternal morbidity and mortality, and most fatal strokes are preventable. Adaptive physiologic changes of pregnancy, including hemodynamic changes, venous stasis, hypercoagulability, and immunomodulation, contribute to increased maternal stroke risk. The highest-risk time period for maternal stroke is the immediate postpartum period. Migraine and hypertensive disorders of pregnancy, including gestational hypertension and preeclampsia, are major risk factors for maternal stroke. Adverse pregnancy outcomes, including gestational hypertension, preeclampsia, preterm delivery, and fetal growth restriction, are important risk factors for cerebrovascular disease later in life.SUMMARY: Many catastrophic maternal strokes could be avoided with targeted prevention efforts, early recognition of warning signs, and rapid evaluation of neurologic symptoms. Neurologists play a central role in the care of pregnant patients with cerebrovascular disease, whether acute or chronic, and should be familiar with the unique and complex physiology of pregnancy and its complications, particularly hypertensive disorders of pregnancy.

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Prevalence and Nature of Pregnancy-Related Complications in Patients With Fibromuscular Dysplasia in the European / International FMD Registry

Cited by 2 publications

References 0 publications

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension

Maternal Stroke Associated With Pregnancy

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