Key result
Severe preeclampsia linked to ~2-fold higher NT-proBNP levels versus non-severe preeclampsia.
Why the study?
The study was conducted to determine serum NT-proBNP levels in women with preeclampsia with and without severe signs and to evaluate their cardiovascular risks.
Are NT-proBNP levels and echocardiographic markers of cardiovascular risk worse in women with severe preeclampsia compared to those without severe signs?
Cross-Sectional (n=52)
No
Are NT-proBNP levels and echocardiographic markers of cardiovascular risk worse in women with severe preeclampsia compared to those without severe signs?
Absolute Event Rate: 725.32% vs 349.12%
p-value: p=<0.001
Women with severe preeclampsia have significantly higher NT-proBNP levels and worse echocardiographic parameters compared to those without severe signs, suggesting a higher risk of cardiovascular complications.
May support closer cardiac monitoring in severe preeclampsia; hypothesis-generating for NT-proBNP-guided risk stratification in prospective studies.
Objective: This study aims to determine the serum levels of NT-proBNP in women with preeclampsia with and without severe signs and to evaluate the cardiovascular risks in these two groups of participants. Methods: A descriptive cross-sectional study was conducted on 52 women with preeclampsia in the Department of Gynecology and Obstetrics – Hue Central Hospital, from August 2019 to September 2020. Results: In preeclampsia women, the rate of hypertension in stage 3, stage 2, and stage 1 were 46.1%, 32.7%, and 21.2%, respectively. The average Sokolow-Lyon index in the preeclampsia group with and without severe signs was 22.25 ± 7.38mm, 20.16 ± 5.54mm, respectively. The average left ventricular mass index in the group of preeclampsia patients without and with severe signs was 92.27 ± 14.56g/m 2 and 120.68 ± 16.47g/m 2 , respectively. The average ejection fraction in the group of preeclampsia patients without severe signs and with severe signs was 65.11 ± 3.45%, 56.21 ± 7.12%, correspondingly. In contrast, the difference between the two groups was statistically significant with p < 0.05. The plasma NT-proBNP level in the preeclampsia group without severe signs was 349.12 ± 93.51pg/mL, whereas the concentration in the preeclampsia group with severe signs was 725.32 ± 290.46pg/mL (p < 0.05). Conclusion: The NT-proBNP level was statistically significantly increased in the patients with preeclampsia. Analyzing and comparing the figures and changes found in two groups of PE patients, with and without severe signs, we suggest that women diagnosed with PE with severe signs have a higher risk of developing cardiovascular problems forthwith and henceforth.
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Nguyễn et al. (2022) conducted a cross-sectional in Preeclampsia (n=52). Severe preeclampsia vs. Non-severe preeclampsia was evaluated on Serum NT-proBNP level (pg/mL) (p=<0.001). Women with severe preeclampsia had significantly elevated serum NT-proBNP levels compared to women with non-severe preeclampsia (725.32 vs 349.12 pg/mL, p < 0.001), indicating higher cardiovascular strain.
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