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Preeclampsia as a Risk Factor of Postmenopausal Cardiovascular Disease: A Cross-Sectional Study
Pasquale Palmiero1,2, Pierpaolo Caretto3, Francesca Amati3
1ASL Brindisi, Cardiology Equipe, District of Brindisi, 72100 Brindisi, Italy.
Women with a history of preeclampsia (PE) face increased risks of postmenopausal cardiac issues, including left ventricular hypertrophy and diastolic dysfunction. This highlights PE as a significant predictor of long-term cardiovascular disease.
Area of Science:
- Cardiology
- Obstetrics
- Public Health
Background:
- Preeclampsia (PE) affects 5-8% of pregnancies globally, increasing long-term cardiovascular disease (CVD) risk.
- PE is a pregnancy-specific disorder marked by hypertension and organ dysfunction.
Purpose of the Study:
- To investigate the association between a history of preeclampsia and cardiovascular health in postmenopausal women.
- To identify specific cardiac abnormalities linked to prior PE.
Main Methods:
- A cohort study involving 108 postmenopausal women with prior PE and 100 controls.
- Clinical data, blood pressure, and echocardiographic assessments were collected.
- Statistical analysis performed using SPSS version 20.0.
Main Results:
- Women with prior PE had higher rates of eccentric left ventricular hypertrophy (37% vs. 23%) and diastolic dysfunction (51% vs. 39%).
- A maternal history of hypertension was more prevalent in the PE group (55% vs. 26%).
- Obesity was more frequent in the PE group, though not statistically significant (p < 0.09).
Conclusions:
- Prior preeclampsia is associated with increased postmenopausal cardiac abnormalities.
- A familial link may exist, as maternal hypertension history was more common in women with prior PE.
- Preeclampsia is a significant predictor of long-term cardiovascular risk, necessitating lifelong monitoring.
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