Early Coronary Atherosclerosis in Women With Previous Preeclampsia
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Early Coronary Atherosclerosis in Women With Previous Preeclampsia. / Hauge, Maria G.; Damm, Peter; Kofoed, Klaus F.; Ersbøll, Anne S.; Johansen, Marianne; Sigvardsen, Per E.; Møller, Mathias B.; Fuchs, Andreas; Kühl, Jørgen T.; Nordestgaard, Børge G.; Køber, Lars V.; Gustafsson, Finn; Linde, Jesper J.
I: Journal of the American College of Cardiology, Bind 79, Nr. 23, 2022, s. 2310-2321.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Early Coronary Atherosclerosis in Women With Previous Preeclampsia
AU - Hauge, Maria G.
AU - Damm, Peter
AU - Kofoed, Klaus F.
AU - Ersbøll, Anne S.
AU - Johansen, Marianne
AU - Sigvardsen, Per E.
AU - Møller, Mathias B.
AU - Fuchs, Andreas
AU - Kühl, Jørgen T.
AU - Nordestgaard, Børge G.
AU - Køber, Lars V.
AU - Gustafsson, Finn
AU - Linde, Jesper J.
N1 - Publisher Copyright: © 2022 American College of Cardiology Foundation
PY - 2022
Y1 - 2022
N2 - 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/m2 vs 25.0 ± 4.2 kg/m2; 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)
AB - 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/m2 vs 25.0 ± 4.2 kg/m2; 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)
KW - angiography
KW - atherosclerosis
KW - cardiac CT
KW - cardiovascular disease
KW - preeclampsia
KW - women
U2 - 10.1016/j.jacc.2022.03.381
DO - 10.1016/j.jacc.2022.03.381
M3 - Journal article
C2 - 35680182
AN - SCOPUS:85130771893
VL - 79
SP - 2310
EP - 2321
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
SN - 0735-1097
IS - 23
ER -
ID: 310436337