Preeclampsia as a risk factor of the cardiovascular complications development
DOI:
https://doi.org/10.12775/JEHS.2020.10.09.057Keywords
preeclampsia, pregnancy, hypertension, cardiovascular diseaseAbstract
Introduction:
The term “preeclampsia” (PE) refers to a multisystem disorder occurring after 20 weeks of pregnancy; it includes a new onset of hypertension and proteinuria and affects from 2 to 8% of all pregnancies. Cardiovascular disease (CVD) is a group of pathologies, which present significant mortality rate all over the world. The literature implicates that both disorders are linked in a sense of further cardiovascular complications in women who had preeclamptic pregnancy.
Purpose:
Evaluation of the relationship between pre-eclampsia and the risk of future potential maternal cardiovascular complications and proposal of the possible causes of this association.
Materials and methods:
We performed the database research using Pubmed, Springer Link and ResearchGate and we made review and meta-analysis of relevant studies. We searched for studies analyzing the relationship between preeclampsia and future maternal cardiovascular risk.
Results:
Systematic reviews and cohort studies qualified for the purpose of this review showed the relationship between preeclampsia and future cardiovascular diseases in mothers. The possible explanations include endothelium dysfunction enduring after delivery and the co-existence of common risk factors for both diseases.
Conclusions:
Preeclampsia is a risk factor predisposing to cardiovascular diseases and may lead to cardiac complications later in life. The course of pregnancies is very important for the future maternal health.
Key words: preeclampsia; pregnancy; hypertension; cardiovascular disease
References
Scantlebury, Dawn & Hayes, Sharonne. (2014). How Does Preeclampsia Predispose to Future Cardiovascular Disease?. Current hypertension reports. 16. 472. 10.1007/s11906-014-0472-6.
Lin YS, Tang CH, Yang CY, Wu LS, Hung ST, Hwa HL, et al. Effect of pre-eclampsia-eclampsia on major cardiovascular events among peripartum women in Taiwan. Am J Cardiol. 2011;107(2):325–30. doi:10.1016/j.amjcard.2010.08.073.
Hannaford P, Ferry S, Hirsch S. Cardiovascular sequelae of toxaemia of pregnancy. Heart (British Cardiac Society). 1997 Feb;77(2):154-158. DOI: 10.1136/hrt.77.2.154.
Bellamy L, Casas JP, Hingorani AD, Williams DJ. Pre-eclampsia and risk of cardiovascular disease and cancer in later life: systematic review and meta-analysis. BMJ. 2007;335(7627):974. doi:10.1136/bmj.39335.385301.BE
ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia. Obstet Gynecol. 2019;133(1):e1-e25. doi:10.1097/AOG.0000000000003018
Prejbisz A, Dobrowolski P, Kosiński P, et al. Management of hypertension in pregnancy: prevention, diagnosis, treatment and long‐term prognosis. A position statement of the Polish Society of Hypertension, Polish Cardiac Society and Polish Society of Gynecologists and Obstetricians. Kardiol Pol. 2019; 77:757-806. doi:10.33963/KP.14904
Poirier, Paul & Després, Jean-Pierre. (2003). Obesity and Cardiovascular Disease. Médecine sciences : M/S. 19. 943-9. 10.1051/medsci/20031910943.
Goode GK, Miller JP, Heagerty HM. Hyperlipidaemia, hypertension and coronary heart disease. Lancet 1995;345:362-4.
Kannel WB, Neaton JD, Wentworth D, Thomas HE, Stamler J, Hulley SB, Kjelsberg MO. Overall and coronary heart disease mortality rates in relation to major risk factors in 325,348 men screened for the MRFIT: Multiple Risk Factor Intervention Trial. Am Heart J.1986; 112:825-836.
Ray JG, Schull MJ, Kingdom JC, Vermeulen MJ. Heart failure and dysrhythmias after maternal placental syndromes: HAD MPS Study. Heart. 2012;98(15):1136–41. doi:10.1136/heartjnl-2011-301548.
Gaillard R, Steegers EA, Hofman A, Jaddoe VW. Associations of maternal obesity with blood pressure and the risks of gestational hypertensive disorders. The Generation R Study. J Hypertens. 2011;29(5):937-944. doi:10.1097/HJH.0b013e328345500c
Ray JG, Vermeulen MJ, Schull MJ, McDonald S, Redelmeier DA. Metabolic syndrome and the risk of placental dysfunction. J Obstet Gynaecol Can. 2005;27(12):1095–101.
Mannisto T, Mendola P, Vaarasmaki M, Jarvelin MR, Hartikainen AL, Pouta A, et al. Elevated blood pressure in pregnancy and subsequent chronic disease risk. Circulation. 2013;127(6):681–90. doi:10.1161/CIRCULATIONAHA.112.128751.
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 512
Number of citations: 0