Preeclampsia and future cardiovascular risk
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2022-01-10 01:10
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BOTNARI-GUȚU, Mihaela. Preeclampsia and future cardiovascular risk. In: MedEspera: International Medical Congress for Students and Young Doctors, Ed. 7th edition, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, 7, pp. 73-74.
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MedEspera
7, 2018
Congresul "International Medical Congress for Students and Young Doctors"
7th edition, Chişinău, Moldova, 3-5 mai 2018

Preeclampsia and future cardiovascular risk


Pag. 73-74

Botnari-Guțu Mihaela
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 3 noiembrie 2020


Rezumat

Introduction. Preeclampsia is a pregnancy-specific disorder resulting in hypertension and multiorgan dysfunction. There is growing evidence that these effects persist after pregnancy. Aim of the study. To evaluate and quantify systematically the evidence on the relationship between preeclampsia and the future risk of cardiovascular diseases and to determine the association of preeclampsia and future cardiovascular risk and to explore the potential management options for these high-risk women. Materials and methods. Study of obstetrical history of patients with an ischemic cardiovascular disease. The study performed in the Cardiology department of IMSP SCM-3 of the during 2014-2016. The study also included 98 pregnant women whose pregnancy was complicated by preeclampsia of various degrees of severity during 2010-2012, analyzed after 5 years. Results. The study found that 42 patients out of 52 had complicated pregnancies with preeclampsia, accounting for 80.76% and 19% - 10 patients had a physiological pregnancy. Preeclampsia is a major risk factor for developing cardiovascular complications 3 times more frequently than uncomplicated pregnancies (OR 17.62; 95% CI 6.65 to 46.4) P < 0.001. Women with a history of preeclampsia have a double risk of subsequent ischemic heart disease, stroke and thromboembolic events within the next 5-15 years after pregnancy. None of the 98 women after birth complicated with preeclampsia was not monitored, and so they developed complications. Conclusions. Preeclampsia is associated with a 4-fold increase in future incident heart failure and a 2-fold increased risk in coronary heart disease, stroke, and death because of coronary heart or cardiovascular disease. This important association can be used to screen for women with an increased risk to better target counselling on lifestyle modifications such as weight loss, exercise, and a healthier diet.

Cuvinte-cheie
preeclampsia, maternal morbidity, complications