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High-sensitivity cardiac troponin I in women with a history of early-onset preeclampsia.

Abstract：

OBJECTIVE:Preeclampsia is associated with an elevated risk of cardiovascular disease later in life. Women with a history of preeclampsia are at risk of developing hypertension as well as ischemic heart disease. Identification of women at the highest risk is important to initiate preventive strategies. We investigated whether high-sensitivity cardiac troponin I (hs-cTnI) levels are associated with a history of early-onset preeclampsia, and with hypertension in these high-risk women. METHODS:Approximately 9-10 years after pregnancy, hs-cTnI levels were measured for 339 women of the Preeclampsia Risk Evaluation in FEMales cohort, consisting of 177 women with a history of early-onset preeclampsia and 162 women with a previous uncomplicated index pregnancy. Associations were analyzed using several statistical tests and linear regression analysis. RESULTS:The median hs-cTnI levels (IQR) were 2.50 ng/l (2.30) in women with a history of early-onset preeclampsia and 2.35 ng/l (2.50) in women without a history of preeclampsia, P = 0.53. Among women with a history of early-onset preeclampsia, the hs-cTnI levels were higher in women who were hypertensive compared with their normotensive counterparts (medians 2.60 versus 2.30; P = 0.03). In addition, blood pressure levels increased with increasing hs-cTnI levels. CONCLUSION:We did not find a difference in hs-cTnI levels between women with and without a history of early-onset preeclampsia. Nonetheless, hs-cTnI levels were statistically significantly higher in current hypertensive women with a history of preeclampsia compared with their normotensive counterparts. Therefore, hs-cTnI levels might improve risk prediction for women at the highest risk of cardiovascular disease.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Muijsers HEC,Westermann D,Birukov A,van der Heijden OWH,Drost JT,Kräker K,Haase N,Müller DN,Herse F,Maas AHEM,Dechend R,Zeller T,Roeleveld N

doi

10.1097/HJH.0000000000002497

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

1948-1954

issue

10

eissn

0263-6352

issn

1473-5598

pii

00004872-202010000-00013

journal_volume

38

pub_type

杂志文章

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