Key result
Pregnancies complicated by preeclampsia had higher pulse wave velocity and augmentation index at 75 bpm compared to normotensive pregnancies (P=0.009).
Why the study?
The study investigated whether oscillometric arterial stiffness measurements differ between pregnant women with and without preeclampsia.
Are oscillometric arterial stiffness measurements (PWV, Alx, Alx-75) higher in pregnant women with preeclampsia compared to normotensive pregnancies?
Case-Control (n=46)
Are oscillometric arterial stiffness measurements (PWV, Alx, Alx-75) higher in pregnant women with preeclampsia compared to normotensive pregnancies?
p-value: p=0.009
Arterial stiffness parameters (PWV and Alx-75) are elevated in preeclampsia, particularly early-onset, suggesting a potential role for oscillometric assessment in cardiovascular risk stratification.
Should not yet change practice in preeclampsia; hypothesis-generating for oscillometric arterial stiffness assessment.
OBJECTIVES: The objective of this study was to investigate whether oscillometric AS measurements are different in pregnant women with and without preeclampsia (PE). STUDY DESIGN: = 46) between 2014 and 2019. In the case group, pregnancies complicated by PE were classified as either early-onset (<34 weeks of gestation) or late-onset (≥34 weeks of gestation) PE and subgroup analysis was performed. MAIN OUTCOME MEASURES: Pulse wave velocity (PWV), augmentation index (Alx), and Alx at a heart rate of 75 beats per minute (Alx-75) were measured using a brachial cuff-based automatic oscillometric device (Mobil-O-Graph 24 h PWA). RESULTS: = .009). There was no significant difference in Alx in either of the analyses. CONCLUSIONS: PWV and Alx-75 are higher in pregnancies complicated by PE, in comparison with normotensive pregnancies, as well as in early-onset PE, in comparison with late-onset PE.Key messagesPulse wave velocity is higher in pregnancies complicated by preeclampsia.Augmentation index at a heart rate of 75 beats per minute is higher in pregnancies complicated by preeclampsia.Arterial stiffness assessment is a promising risk-stratification tool for future cardiovascular complications but further studies are required.
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Anthoulakis et al. (2021) conducted a case-control in Preeclampsia (n=46). Preeclampsia vs. Normotensive pregnancies was evaluated on Pulse wave velocity (PWV), augmentation index (Alx), and Alx at a heart rate of 75 beats per minute (Alx-75) (p=0.009). Pregnancies complicated by preeclampsia had higher pulse wave velocity and augmentation index at 75 bpm compared to normotensive pregnancies (P=0.009).
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