Family history of early-onset cardiovascular disorders is associated with a higher risk of severe preeclampsia

János Rigó, Tamás Boze, Zoltán Derzsy, László Derzbach, András Treszl, Levente Lázár, Gábor Sobel, Barna Vásárhelyi

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24 Citations (Scopus)

Abstract

Aim: The aim was to evaluate familial early-onset cardiovascular disorders as potential risk factors for severe preeclampsia. Study design: A case-control study was carried out by interviewing 162 primiparous severely preeclamptic women and 521 primiparous healthy control patients after delivery to determine the frequency of cardiovascular disorders (chronic hypertension, myocardial infarction, stroke) developed before the age of 50 among their parents. The χ 2 -test was utilized to estimate odds ratios (OR) and 95% confidence intervals (95% CI). The association was adjusted for pre-pregnancy body mass index, maternal age, and smoking habits before pregnancy using logistic regression analysis. Results: Maternal and paternal early-onset chronic hypertension (adjusted OR: 3.84, 95% CI: 2.25-6.54; and adjusted OR: 3.26, 95% CI: 1.76-6.05) as well as paternal early-onset myocardial infarction (adjusted OR: 3.33; 95% CI: 1.51-7.32) were independent risk factors for severe preeclampsia. Early-onset stroke affected only the fathers of severely preeclamptic patients. Among the severely preeclamptic patients a positive family history of cardiovascular disorders developed before the age of 50 increased the risk of early-onset preeclampsia (developing before the 32nd gestational week) by 5.05-fold (95% CI: 3.08-8.31) compared with the control group. Conclusion: Our results suggest that the presence of familial early-onset cardiovascular disorders is a predisposing factor for severe preeclampsia.

Original languageEnglish
Pages (from-to)148-151
Number of pages4
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume128
Issue number1-2
DOIs
Publication statusPublished - Jan 1 2006

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Keywords

  • Cardiovascular disorders
  • Family history
  • Hypertension
  • Myocardial infarction
  • Severe preeclampsia
  • Stroke

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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