Cardio-oncology & other

Update on long-term cardiovascular risk after pre-eclampsia: a systematic review and meta-analysis

Eur Heart J Qual Care Clin OutcomesPublished Systematic review and meta-analysis

Authors' conclusion

Compared to women who experienced a normal pregnancy, those suffering from PE have about double the risk of lifetime cardiovascular disease.

Study context

Population
Women with a history of pre-eclampsia vs controls; randomised, cohort or case-control studies with adjusted estimates and ≥1 year follow-up22 studies
Comparison
History of pre-eclampsia (PE) vs normal pregnancy
Outcome
CV disease: CV death, CHD, HF and stroke
Methodological detailsrandom-effect model, adjusted effect sizes, PubMed, MEDLINE, Scopus and EMBASE searched from inception to May 2023, following PRISMA
  • Random-effect model
  • Adjusted effect sizes
  • PubMed, MEDLINE, Scopus and EMBASE searched from inception to May 2023, following PRISMA

Pooled result

As reported in the abstract

CV death; I2 56%
Effect size (ES) 2.08 (95% CI 1.70–2.54); P < 0.00001
Coronary artery diseases; I2 87%
ES 2.04 (95% CI 1.76–2.38); P < 0.00001
HF; I2 83%
ES 2.47 (95% CI 1.89–3.22); P < 0.00001
Stroke; I2 72%
ES 1.75 (95% CI 1.52–2.02); P < 0.00001

Further pooled results

Risk over follow-up time

Risk evident in first 1-to-3 years of follow-up and remains significant until 39 years

Original publication

Update on long-term cardiovascular risk after pre-eclampsia: a systematic review and meta-analysis. Eur Heart J Qual Care Clin Outcomes. Published 16 November 2023. doi:10.1093/ehjqcco/qcad065

Composed by AI from the published abstract and checked against it. How Briefs are made →

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