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September 7, 2023Ultrasound in Obstetrics and GynecologyOpen Access

Angiogenic markers and maternal echocardiographic indices in women with hypertensive disorders of pregnancy

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Key result

Higher sFlt-1/PlGF ratio correlates with greater LVMI and E/e' in hypertensive disorders of pregnancy.

  • n=120

Why the study?

Maternal cardiovascular impairment occurs in hypertensive disorders of pregnancy (HDP), but the correlation between cardiac indices by TTE and circulating angiogenic markers remained to be evaluated.

Do circulating angiogenic markers correlate with maternal echocardiographic indices in women with hypertensive disorders of pregnancy?

Population

95 women with HDP and 25 controls with uncomplicated pregnancy at term

Comparison

Women with HDP vs uncomplicated pregnancy controls

Design

Prospective observational study

Authors

VGVeronica GiorgioneSt George's, University of LondonCFCarolina Di FabrizioSt George's HospitalEGElisa GiallongoIntensive Care National Audit & Research Centre

Discussion

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Implication

Hypothesis-generating for cardiac assessment in HDP; prospective studies needed before clinical adoption.

Study Design

Type

Observational (n=120)

Structured PICO

Do circulating angiogenic markers correlate with maternal echocardiographic indices in women with hypertensive disorders of pregnancy?

P
Population
120 pregnant women, including 95 with a pregnancy complicated by hypertensive disorders of pregnancy (HDP) and 25 with an uncomplicated pregnancy at term.
I
Intervention
Measurement of circulating angiogenic markers (sFlt-1 and PlGF) and transthoracic echocardiography (TTE) during the peripartum period.
C
Comparator
25 women with an uncomplicated pregnancy at term.
O
Outcome
Correlation between cardiac indices obtained by transthoracic echocardiography (TTE) and circulating angiogenic markers (sFlt-1 and PlGF).surrogate

Circulating angiogenic markers (sFlt-1 and PlGF) correlate with maternal echocardiographic indices of left ventricular remodeling and diastolic dysfunction in women with hypertensive disorders of pregnancy.

Limitations

  • Current data are not able to infer causality

Cite This Study

Giorgione et al. (2023) conducted an observational in Hypertensive disorders of pregnancy (n=120). Circulating angiogenic markers (sFlt-1, PlGF) and transthoracic echocardiography vs. Uncomplicated pregnancy at term was evaluated on Correlation between cardiac indices obtained by transthoracic echocardiography and circulating angiogenic markers. In women with hypertensive disorders of pregnancy, the sFlt-1/PlGF ratio significantly correlated with left ventricular mass index (r=0.252; P=0.022) and E/e' ratio (r=0.269; P=0.014).

synapsesocial.com/papers/6a0a5883fdd00ab7863dcc6fhttps://doi.org/10.1002/uog.27474

Topics

Echocardiography
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