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Early Coronary Atherosclerosis in Women With Previous Preeclampsia

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Background: Women with previous preeclampsia have an increased risk of coronary artery disease later in life. Objectives: This study aimed to determine the prevalence of coronary atherosclerosis in younger women with previous preeclampsia in comparison with women from the general population. Methods: Women aged 40-55 years with previous preeclampsia were matched 1:1 on age and parity with women from the general population. Participants completed an extensive questionnaire, a clinical examination, and a coronary computed tomography angiography (CTA). The main study outcome was the prevalence of any coronary atherosclerosis on coronary CTA or a calcium score >0 in case of a nondiagnostic coronary CTA. Results: A total of 1,417 women, with a mean age of 47 years, were included (708 women with previous preeclampsia and 709 control subjects from the general population). Women with previous preeclampsia were more likely to have hypertension (284 [40.1%] vs 162 [22.8%]; P < 0.001), dyslipidemia (338 [47.7%] vs 296 [41.7%]; P = 0.023), diabetes mellitus (24 [3.4%] vs 8 [1.1%]; P = 0.004), and high body mass index (27.3 ± 5.7 kg/m 2 vs 25.0 ± 4.2 kg/m 2; P < 0.001). Cardiac computed tomography was performed in all women. The prevalence of any coronary atherosclerosis was higher in the preeclampsia group (193 [27.4%] vs 141 [20.0%]; P = 0.001) with an OR: 1.41 (95% CI: 1.08-1.85; P = 0.012) after adjustment for age, dyslipidemia, diabetes mellitus, smoking, body mass index, menopause, and parity. Conclusions: Younger women with previous preeclampsia had a slightly higher prevalence of coronary atherosclerosis compared with age- and parity-matched women from the general population. Preeclampsia remained an independent risk factor after adjustment for traditional cardiovascular risk factors. (The CoPenHagen PREeClampsia and cardIOvascUlar diSease study [CPH-PRECIOUS]; NCT03949829)

Original languageEnglish
JournalJournal of the American College of Cardiology
Volume79
Issue number23
Pages (from-to)2310-2321
Number of pages12
ISSN0735-1097
DOIs
Publication statusPublished - 14 Jun 2022

Bibliographical note

Copyright © 2022 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

    Research areas

  • Adult, Computed Tomography Angiography, Coronary Angiography/methods, Coronary Artery Disease/diagnostic imaging, Diabetes Mellitus, Female, Humans, Middle Aged, Pre-Eclampsia/epidemiology, Pregnancy, Risk Factors, atherosclerosis, cardiovascular disease, preeclampsia, cardiac CT, angiography, women

ID: 78821284