Vascular risk in women with a history of severe preeclampsia


Goynumer G., Yucel N., Adali E., Tan T., Baskent E., Karadag C.

JOURNAL OF CLINICAL ULTRASOUND, cilt.41, ss.145-150, 2013 (SCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 41 Konu: 3
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1002/jcu.21962
  • Dergi Adı: JOURNAL OF CLINICAL ULTRASOUND
  • Sayfa Sayısı: ss.145-150

Özet

Background. To assess markers of vascular dysfunction and risk in postpartum women with a history of severe preeclampsia. Methods. Carotid intima-media thickness (CIMT) and brachial artery flow-mediated dilatation (FMD) measured by ultrasonography, and lipid profile and insulin resistance evaluated by biochemical assays were compared between 34 women with a history of severe preeclampsia and 42 women with a prior normal pregnancy at least 1224 months postpartum. Results. CIMT was higher and FMD lower in the preeclamptic than in the control group. We found a significant inverse correlation between CIMT and FMD in the preeclamptic group, but no difference in lipid profiles and insulin resistance between the groups. Conclusions. Women with a history of severe preeclampsia exhibit early structural and functional preatherosclerotic vascular impairment, which might explain their higher risk of future cardiovascular disease. (c) Wiley Periodicals, Inc. J Clin Ultrasound 41:145-150, 2013; Published online in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/jcu.21962