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August 26, 2026Clinical Physiology and Functional ImagingOpen Access

Prior severe preeclampsia is linked to ~14% smaller indexed LV volumes despite similar cardiac function.

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Why the study?

Preeclampsia is associated with increased risk of cardiovascular disease later in life, but pathophysiological mechanisms are unclear and strategies to identify women at risk are missing.

Does a history of severe preeclampsia alter cardiac volumes, function, and arterial stiffness 5 years after pregnancy compared to normotensive pregnancies?

Population

10 women experiencing severe preeclampsia and 20 women with normotensive pregnancies

Comparison

Prior severe preeclampsia vs lifestyle-matched controls vs physically active controls

Follow-up

4-7 years after pregnancy

Key result

Prior severe preeclampsia was associated with smaller indexed left ventricular volumes compared to active controls (84 vs. 98 mL/m2, p=0.004), but no differences in blood pressure or cardiac function.

Authors

CECamilla EdvinssonKSKatarina Steding‐EhrenborgAVAshwin Venkateshvaran

Discussion

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Overview

Highlights the need for long-term cardiovascular monitoring after severe preeclampsia; leaves open whether early.

Key Points

  • To assess cardiovascular structure, function, and arterial stiffness five years after severe preeclampsia compared to normotensive sedentary and active controls.
  • Included 30 women (10 with prior severe preeclampsia, 10 lifestyle-matched normotensive controls, and 10 physically active normotensive controls).
  • Evaluated brachial blood pressure, echocardiography, and cardiac magnetic resonance (CMR) at 4–7 years postpartum.
  • Systolic blood pressure (103 vs. 106 vs. 108 mmHg, p = 0.67) and diastolic blood pressure (66 vs. 66 vs. 64 mmHg, p = 0.78) did not differ among groups.
  • Active controls demonstrated significantly larger indexed left ventricular volumes than women with prior preeclampsia (98 vs. 84 mL/m², p = 0.004; and 41 vs. 32 mL/m², p = 0.01).
  • Left ventricular mass, systolic function, pulse wave velocity, and diastolic function showed no significant differences between groups.

Study Design

Type

Observational (n=30)

Structured PICO

Does a history of severe preeclampsia alter cardiac volumes, function, and arterial stiffness 5 years after pregnancy compared to normotensive pregnancies?

P
Population
30 women evaluated 4-7 years after pregnancy, including 10 with prior severe preeclampsia and 20 with prior normotensive pregnancies.
E
Exposure
History of severe preeclampsia
C
Comparator
History of normotensive pregnancy (lifestyle-matched and physically active controls)
O
Outcome
Cardiovascular structure and function (cardiac volumes, function, and arterial stiffness) assessed by cardiac magnetic resonance (CMR) and echocardiographysurrogate

Main Result

Absolute Event Rate: 84% vs 98%

p-value: p=0.004

Five years after severe preeclampsia, women who remain normotensive do not show clinically significant differences in cardiac structure, function, or arterial stiffness compared to controls.

Cite This Study

Edvinsson et al. (2026) conducted an observational in Severe preeclampsia (n=30). Severe preeclampsia vs. Normotensive pregnancies (lifestyle-matched and physically active) was evaluated on Indexed left ventricular volume (p=0.004). Prior severe preeclampsia was associated with smaller indexed left ventricular volumes compared to active controls (84 vs. 98 mL/m2, p=0.004), but no differences in blood pressure or cardiac function.

synapsesocial.com/papers/6a8ebb54451774b83f3b4bbbhttps://doi.org/10.1111/cpf.70088
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