Placental syndromes and maternal cardiovascular health

Author:

Casey Helen1,Dennehy Natalie2,Fraser Abigail3,Lees Christoph2,McEniery Carmel M.4,Scott Kayley1,Wilkinson Ian B.4,Delles Christian1ORCID

Affiliation:

1. 1School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, Scotland, U.K.

2. 2Chelsea and Westminster NHS Foundation Trust, London, England, U.K.

3. 3Department of Population Health Sciences, Bristol Medical School, and the MRC Integrative Epidemiology Unit at the University of Bristol, Bristol, U.K.

4. 4Division of Experimental Medicine and Immunotherapeutics, Department of Medicine, University of Cambridge, Cambridge, England, U.K.

Abstract

Abstract The placental syndromes gestational hypertension, preeclampsia and intrauterine growth restriction are associated with an increased cardiovascular risk to the mother later in life. In this review, we argue that a woman’s pre-conception cardiovascular health drives both the development of placental syndromes and long-term cardiovascular risk but acknowledge that placental syndromes can also contribute to future cardiovascular risk independent of pre-conception health. We describe how preclinical studies in models of preeclampsia inform our understanding of the links with later cardiovascular disease, and how current pre-pregnancy studies may explain relative contributions of both pre-conception factors and the occurrence of placental syndromes to long-term cardiovascular disease.

Publisher

Portland Press Ltd.

Subject

General Medicine

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