Coronary Microvascular Function Following Severe Preeclampsia Article Swipe
Michael C. Honigberg
,
Katherine E. Economy
,
Maria Pabón
,
Xiaowen Wang
,
Claire Castro
,
Jenifer M. Brown
,
Sanjay Divakaran
,
Brittany Weber
,
Leanne Barrett
,
Anna Perillo
,
Anina Y. Sun
,
T Antoine
,
Faranak Farrohi
,
Brenda Docktor
,
Emily S. Lau
,
Doreen DeFaria Yeh
,
Pradeep Natarajan
,
Amy Sarma
,
Robert M. Weisbrod
,
Naomi M. Hamburg
,
Jennifer E. Ho
,
Jason D. Roh
,
Malissa J. Wood
,
Nandita S. Scott
,
Marcelo F. Di Carli
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1101/2024.03.04.24303728
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1101/2024.03.04.24303728
Background Preeclampsia is a pregnancy-specific hypertensive disorder associated with an imbalance in circulating pro- and anti-angiogenic proteins. Preclinical evidence implicates microvascular dysfunction as a potential mediator of preeclampsia-associated cardiovascular risk. Methods Women with singleton pregnancies complicated by severe antepartum-onset preeclampsia and a comparator group with normotensive deliveries underwent cardiac positron emission tomography (PET) within 4 weeks of delivery. A control group of pre-menopausal, non-postpartum women was also included. Myocardial flow reserve (MFR), myocardial blood flow (MBF), and coronary vascular resistance (CVR) were compared across groups. Soluble fms-like tyrosine kinase receptor-1 (sFlt-1) and placental growth factor (PlGF) were measured at imaging. Results The primary cohort included 19 women with severe preeclampsia (imaged at a mean 16.0 days postpartum), 5 with normotensive pregnancy (mean 14.4 days postpartum), and 13 non-postpartum female controls. Preeclampsia was associated with lower MFR ( β =-0.67 [95% CI −1.21 to −0.13]; P =0.016), lower stress MBF ( β =-0.68 [95% CI, −1.07 to −0.29] mL/min/g; P =0.001), and higher stress CVR ( β =+12.4 [95% CI 6.0 to 18.7] mmHg/mL/min/g; P =0.001) vs. non-postpartum controls. MFR and CVR after normotensive pregnancy were intermediate between preeclamptic and non-postpartum groups. Following preeclampsia, MFR was positively associated with time following delivery ( P =0.008). The sFlt-1/PlGF ratio strongly correlated with rest MBF ( r =0.71; P <0.001), independent of hemodynamics. Conclusions In this exploratory study, we observed reduced coronary microvascular function in the early postpartum period following severe preeclampsia, suggesting that systemic microvascular dysfunction in preeclampsia involves the coronary microcirculation. Further research is needed to establish interventions to mitigate risk of preeclampsia-associated cardiovascular disease.
Related Topics
Concepts
Medicine
Preeclampsia
Placental growth factor
Pregnancy
Internal medicine
Soluble fms-like tyrosine kinase-1
Cardiology
Obstetrics
Vascular endothelial growth factor
VEGF receptors
Biology
Genetics
Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.1101/2024.03.04.24303728
- https://www.medrxiv.org/content/medrxiv/early/2024/03/05/2024.03.04.24303728.full.pdf
- OA Status
- green
- Cited By
- 1
- References
- 47
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392448228
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392448228Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1101/2024.03.04.24303728Digital Object Identifier
- Title
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Coronary Microvascular Function Following Severe PreeclampsiaWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
-
2024-03-05Full publication date if available
- Authors
-
Michael C. Honigberg, Katherine E. Economy, Maria Pabón, Xiaowen Wang, Claire Castro, Jenifer M. Brown, Sanjay Divakaran, Brittany Weber, Leanne Barrett, Anna Perillo, Anina Y. Sun, T Antoine, Faranak Farrohi, Brenda Docktor, Emily S. Lau, Doreen DeFaria Yeh, Pradeep Natarajan, Amy Sarma, Robert M. Weisbrod, Naomi M. Hamburg, Jennifer E. Ho, Jason D. Roh, Malissa J. Wood, Nandita S. Scott, Marcelo F. Di CarliList of authors in order
- Landing page
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https://doi.org/10.1101/2024.03.04.24303728Publisher landing page
- PDF URL
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https://www.medrxiv.org/content/medrxiv/early/2024/03/05/2024.03.04.24303728.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://www.medrxiv.org/content/medrxiv/early/2024/03/05/2024.03.04.24303728.full.pdfDirect OA link when available
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Medicine, Preeclampsia, Placental growth factor, Pregnancy, Internal medicine, Soluble fms-like tyrosine kinase-1, Cardiology, Obstetrics, Vascular endothelial growth factor, VEGF receptors, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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47Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.=0.008). | 204 |
| abstract_inverted_index.=0.016), | 146 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.compared | 83 |
| abstract_inverted_index.coronary | 78, 229, 249 |
| abstract_inverted_index.delivery | 201 |
| abstract_inverted_index.disease. | 264 |
| abstract_inverted_index.disorder | 7 |
| abstract_inverted_index.emission | 51 |
| abstract_inverted_index.evidence | 19 |
| abstract_inverted_index.fms-like | 87 |
| abstract_inverted_index.function | 231 |
| abstract_inverted_index.imaging. | 100 |
| abstract_inverted_index.included | 105 |
| abstract_inverted_index.involves | 247 |
| abstract_inverted_index.measured | 98 |
| abstract_inverted_index.mediator | 26 |
| abstract_inverted_index.mitigate | 259 |
| abstract_inverted_index.observed | 227 |
| abstract_inverted_index.positron | 50 |
| abstract_inverted_index.research | 252 |
| abstract_inverted_index.strongly | 208 |
| abstract_inverted_index.systemic | 242 |
| abstract_inverted_index.tyrosine | 88 |
| abstract_inverted_index.vascular | 79 |
| abstract_inverted_index.−0.29] | 157 |
| abstract_inverted_index.Following | 192 |
| abstract_inverted_index.controls. | 130, 178 |
| abstract_inverted_index.delivery. | 58 |
| abstract_inverted_index.establish | 256 |
| abstract_inverted_index.following | 200, 237 |
| abstract_inverted_index.imbalance | 11 |
| abstract_inverted_index.included. | 68 |
| abstract_inverted_index.mL/min/g; | 158 |
| abstract_inverted_index.placental | 93 |
| abstract_inverted_index.potential | 25 |
| abstract_inverted_index.pregnancy | 121, 184 |
| abstract_inverted_index.proteins. | 17 |
| abstract_inverted_index.singleton | 34 |
| abstract_inverted_index.underwent | 48 |
| abstract_inverted_index.−0.13]; | 144 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Myocardial | 69 |
| abstract_inverted_index.associated | 8, 133, 197 |
| abstract_inverted_index.comparator | 43 |
| abstract_inverted_index.correlated | 209 |
| abstract_inverted_index.deliveries | 47 |
| abstract_inverted_index.implicates | 20 |
| abstract_inverted_index.myocardial | 73 |
| abstract_inverted_index.positively | 196 |
| abstract_inverted_index.postpartum | 235 |
| abstract_inverted_index.receptor-1 | 90 |
| abstract_inverted_index.resistance | 80 |
| abstract_inverted_index.suggesting | 240 |
| abstract_inverted_index.tomography | 52 |
| abstract_inverted_index.<0.001), | 217 |
| abstract_inverted_index.Conclusions | 221 |
| abstract_inverted_index.Preclinical | 18 |
| abstract_inverted_index.circulating | 13 |
| abstract_inverted_index.complicated | 36 |
| abstract_inverted_index.dysfunction | 22, 244 |
| abstract_inverted_index.exploratory | 224 |
| abstract_inverted_index.independent | 218 |
| abstract_inverted_index.pregnancies | 35 |
| abstract_inverted_index.sFlt-1/PlGF | 206 |
| abstract_inverted_index.Preeclampsia | 2, 131 |
| abstract_inverted_index.hypertensive | 6 |
| abstract_inverted_index.intermediate | 186 |
| abstract_inverted_index.normotensive | 46, 120, 183 |
| abstract_inverted_index.postpartum), | 117, 125 |
| abstract_inverted_index.preeclampsia | 40, 110, 246 |
| abstract_inverted_index.preeclamptic | 188 |
| abstract_inverted_index.hemodynamics. | 220 |
| abstract_inverted_index.interventions | 257 |
| abstract_inverted_index.microvascular | 21, 230, 243 |
| abstract_inverted_index.preeclampsia, | 193, 239 |
| abstract_inverted_index.cardiovascular | 29, 263 |
| abstract_inverted_index.mmHg/mL/min/g; | 173 |
| abstract_inverted_index.non-postpartum | 64, 128, 177, 190 |
| abstract_inverted_index.anti-angiogenic | 16 |
| abstract_inverted_index.pre-menopausal, | 63 |
| abstract_inverted_index.antepartum-onset | 39 |
| abstract_inverted_index.microcirculation. | 250 |
| abstract_inverted_index.pregnancy-specific | 5 |
| abstract_inverted_index.preeclampsia-associated | 28, 262 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5014780203 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 25 |
| corresponding_institution_ids | https://openalex.org/I107606265, https://openalex.org/I136199984, https://openalex.org/I4210087915 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.69665191 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |