Key result
Decreased volume and increased pressure loads are linked to raised RWT in former preeclamptic women.
Cross-Sectional (n=654)
In former preeclamptic women, concentric remodeling (raised relative wall thickness) is associated with both decreased volume load and increased pressure load.
May warrant closer cardiac surveillance in former preeclamptic women; leaves open causal role of loading conditions in concentric remodeling.
AIMS: To study the relationship between volume and pressure load on the one hand and relative wall thickness (RWT) on the other hand in former preeclamptic women. METHODS: In 654 former PE women, blood pressure (BP) and PV (iodine 125 albumin indicator dilution technique) where measured. PV was indexed for body surface area (BSA). Echocardiography was performed to calculate RWT. The study population was divided in 4 subgroups consisting of women with either normal- or high-systolic BP (sysBP) (<140 versus ≥140mmHg, respectively) and normal- or low-PV index (>1373 versus ≤1373 ml/m2 respectively). Differences between the four subgroups where analyzed with ANOVA. Pearson's rho is calculated for the correlation between PV and sysBP on the one hand and RWT on the other hand. RESULTS: RWT was the lowest in the group with normal sysBP and normal PV and the highest in the subgroup with high sysBP and low PV subgroup (Table 1). Moreover, PVindex correlated negatively with RWT in the setting of both normal sysBP and high sysBP (Figure 1a and b) while systolic BP correlated positively with RWT in the setting of normal sysBP but not in the setting of high sysBP (Figure 1c and d). DISCUSSION: Raised RWT, as a measure for concentric remodelling, relates to both decreased volume load and increased pressure load.
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Ghossein‐Doha et al. (2016) conducted a cross-sectional in Former preeclampsia (n=654). High systolic blood pressure and low plasma volume vs. Normal systolic blood pressure and normal plasma volume was evaluated on Relative wall thickness (RWT). In 654 former preeclamptic women, decreased volume load and increased pressure load were associated with raised relative wall thickness.
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