A recent history of preeclampsia is associated with elevated central pulse wave velocity and muscle sympathetic outflow

Author:

Usselman Charlotte W.1234,Adler Tessa E.13ORCID,Coovadia Yasmine1,Leone Cheryl3,Paidas Michael J.45,Stachenfeld Nina S.34ORCID

Affiliation:

1. Cardiovascular Health and Autonomic Regulation Laboratory, Department of Kinesiology and Physical Education, McGill University, Montreal, Quebec, Canada

2. McGill Research Centre for Physical Activity and Health, McGill University, Montreal, Quebec, Canada

3. The John B. Pierce Laboratory, Yale School of Medicine, New Haven, Connecticut

4. Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut

5. Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Miami Miller School of Medicine, Miami, Florida

Abstract

We demonstrate that resting muscle sympathetic nerve activity is elevated in women with a recent history of preeclampsia relative to women who have recently had uncomplicated pregnancies and without a history of preeclampsia. Structural changes in the central arteries are associated with arterial stiffness following preeclampsia, independent of changes in the sympathetic nervous system. The structural changes are observed in these relatively young previously preeclamptic women, indicating elevated cardiovascular risk. Our data suggest that with aging (and the gradual loss of vascular protection for women, as established by others), this risk will become exaggerated compared with women who have had normal pregnancies.

Funder

Yale University | Yale School of Medicine

Publisher

American Physiological Society

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine,Physiology

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