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[Preeclampsia: A challenge also for cardiologists]
Insights
Preeclampsia is a systemic vascular disease, not just an obstetrical condition. Cardiologists should be involved in screening, prevention, and long-term cardiovascular care for women with preeclampsia.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Vascular Medicine
- Perinatal Medicine
Background:
- Preeclampsia traditionally managed solely by OB/GYNs.
- Recognized as a systemic inflammatory and vascular disease.
- Identified as a lifelong cardiovascular risk factor for women.
Purpose of the Study:
- Provide an overview of preeclampsia definition, identification, and management.
- Highlight the evolving understanding of preeclampsia.
- Advocate for increased cardiologist involvement in preeclampsia care.
Main Methods:
- Literature review of current state-of-art in preeclampsia.
- Analysis of evidence supporting cardiologist roles.
- Discussion of screening, prevention, and follow-up strategies.
Main Results:
- Preeclampsia requires a multidisciplinary approach beyond obstetrics.
- Early identification and management are crucial.
- Cardiologists play a vital role in long-term cardiovascular health.
Conclusions:
- Preeclampsia necessitates integrated care involving cardiology.
- Screening and prevention strategies should include cardiovascular risk assessment.
- Long-term follow-up by cardiologists is essential for women with a history of preeclampsia.
Abstract:
Due to its short-term consequences on perinatal outcome, preeclampsia has been long regarded as an obstetrical disease, strictly confined to a management by OB/GYNs. It has been now widely accepted that preeclampsia is most a systemic inflammatory and systemic vascular disease during pregnancy and then a lifelong risk factor for subsequent cardiovascular event in women's life. The aim of this review is to propose an overview in the current state-of-art in definition, early identification and management of preeclampsia. We will also discuss the growing evidence that support that cardiologists must be fully involved in screening and prevention of preeclampsia during pregnancy and beyond in the subsequent medical follow-up of women who have experienced a preeclampsia.
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