Myocardial function in offspring 5-8years after pregnancy complicated by preeclampsia
Drude Fugelseth1, Heidi Bente Ramstad, Anne Stine Kvehaugen
1Department of Neonatal Intensive Care, Oslo University Hospital, Ullevål, Oslo, Norway. drudefugelseth@hotmail.com
Insights
Children born after preeclampsia may experience negative heart effects by age 8. Preeclampsia is linked to smaller hearts and altered heart function in young children, suggesting long-term cardiovascular implications.
Area of Science:
- Cardiology
- Developmental Biology
- Perinatology
Background:
- Pregnancy complications like preeclampsia and diabetes share pathophysiological features.
- These conditions may induce epigenetic changes affecting fetal development.
- Such changes are linked to later metabolic and cardiovascular disease risks.
Purpose of the Study:
- To investigate myocardial function in children exposed to pregnancy complications.
- To compare cardiac outcomes in offspring of preeclamptic, diabetic, and uncomplicated pregnancies.
Main Methods:
- Echocardiographic assessment of myocardial function in 45 children (5-8 years) born to mothers with preeclampsia, type 1 diabetes, or gestational diabetes.
- Comparison with 15 children from uneventful pregnancies.
- Utilized conventional Doppler and tissue Doppler imaging (TDI) for ventricular function analysis.
Main Results:
- No significant overall differences in myocardial function between complication and control groups.
- Preeclampsia group exhibited smaller heart size, increased heart rate, and elevated mitral A'-wave velocity compared to controls and diabetic groups.
- Findings were consistent across pulsed wave and color TDI.
Conclusions:
- Children born after preeclampsia may show early signs of cardiac impact by 5-8 years of age.
- Preeclampsia appears to negatively affect heart development in offspring.
- Further research with larger cohorts is warranted due to the limited sample size.
Introduction:
Preeclampsia and diabetic pregnancies share pathophysiological features suggested to influence epigenetic changes during foetal life with importance for later development and metabolic and cardiovascular diseases.
Aim:
Our objective was to study the myocardium in offspring after pregnancy complications.
Methods:
Forty-five children (age 5-8 years) delivered from pregnancies complicated by preeclampsia (n = 25), diabetes mellitus type 1 (n = 8) or gestational diabetes mellitus (n = 12) were included. Fifteen children from uneventful pregnancies served as controls. Myocardial functions of right and left ventricle were examined by conventional Doppler and tissue Doppler imaging (TDI).
Results:
No major differences were found in the myocardial function between offspring of pregnancy complications and control group. However, the preeclampsia group had smaller hearts, increased heart rate and increased late diastolic velocity (A'-wave) at mitral valve attachments shown by both pulsed wave and colour TDI compared to the control and diabetic groups together (p ≤ 0.01).
Conclusion:
Children born after preeclampsia may show effects of a negative impact on the heart already at the age of 5 to 8 years. The numbers of examined children were, however, limited.
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