Prevention & lipids

Subclinical atherosclerosis in women after pre-eclampsia: a systematic review and meta-analysis

HeartPublished systematic review and meta-analysis

Pooled result · CIMT (26 studies)Result — go to the resultStandardised mean difference 0.63 95% CI 0.32–0.93

Authors' conclusion

Among women with a history of pre-eclampsia, subclinical atherosclerosis can be seen during pregnancy and persists long term. Our review supports the importance of early follow-up in patients who have had pre-eclampsia.

Study context

Population
Women with a history of pre-eclampsiawomen in 35 case-control studies, 3376 had a history of pre-eclampsia
Participants
20,235 women
Comparison
Associations between pre-eclampsia and subclinical atherosclerosis
  • Pre-eclampsian = 3,376
Outcome
CIMT (26 studies)
Methodological detailsCommon and random effects models
  • Common and random effects models

Pooled result

As reported in the abstract

Standardised mean difference

0.63

95% CI 0.32–0.93

Pre-eclampsiavs No pre-eclampsia
standardised mean difference 0.63 (95% CI 0.32–0.93)

Further pooled results

OutcomeStandardised mean difference (95% CI)
CIMT · during pregnancyIncreased CIMT with pre-eclampsia0.65 (0.33–0.98)
CIMT · 12 months post partumIncreased CIMT with pre-eclampsia0.84 (0.20–1.47)
CIMT · beyond 12 months post partumIncreased CIMT with pre-eclampsia0.50 (0.01–0.99)
OutcomeOdds (95% CI)
Subclinical atherosclerosis by CAC (8 studies)Times higher with pre-eclampsia1.57 (1.39–1.77)

Original publication

Subclinical atherosclerosis in women after pre-eclampsia: a systematic review and meta-analysis. Heart. Published 11 August 2025. doi:10.1136/heartjnl-2024-325493

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