Impact of offspring endothelial function from de novo hypertensive disorders during pregnancy: An evidence-based

Aslah Nabilah Abdull Sukor1, Sheril June Ankasha1, Azizah Ugusman1

  • 1Department of Physiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Frontiers in Surgery
|November 24, 2022
PubMed

Insights

Hypertensive disorders of pregnancy (HDP) can impair offspring cardiovascular health. This review found that HDP negatively impacts endothelial function in children, increasing long-term cardiovascular disease risk.

Area of Science:

  • Obstetrics and Gynecology
  • Cardiovascular Medicine
  • Pediatrics

Background:

  • Hypertensive disorders of pregnancy (HDP), including gestational hypertension and preeclampsia, pose risks to maternal and offspring health.
  • HDP is linked to maternal complications and may increase offspring's long-term cardiovascular disease (CVD) risk.
  • Endothelial dysfunction is a key factor in CVD development.

Purpose of the Study:

  • To systematically review and identify studies examining the impact of de novo HDP on offspring endothelial function.
  • To synthesize current evidence on the relationship between HDP exposure in utero and vascular health in offspring.

Main Methods:

  • A comprehensive literature search was performed across PubMed, Scopus, and Medline databases.
  • Searches covered articles published from 1976 to 2022, supplemented by additional sources.
  • Data from 13 selected studies were extracted and analyzed.

Main Results:

  • All reviewed studies indicated impaired endothelial function in offspring exposed to de novo HDP.
  • Key findings suggest links to impaired vasodilation, early atherosclerosis, inflammation, and epigenetic dysregulation.
  • Offspring of pregnancies with HDP exhibit compromised vascular health.

Conclusions:

  • De novo HDP significantly affects offspring endothelial function.
  • This dysfunction may contribute to an increased risk of developing cardiovascular diseases later in life.
  • Further research into the mechanisms and long-term consequences is warranted.

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