CIRCULATING ANGIOGENIC FACTOR LEVELS IN HYPERTENSIVE DISORDERS OF PREGNANCY
Keywords:
Material and Methods. In 18 U.S. centers scientists prospectively measured the ratio of serum soluble fms-like tyrosine kinase 1 (sFlt-1) to placental growth factor (PlGF) in pregnant women hospitalized between 23 and 35 weeks of gestation. The primary outcome was predicting sPE, and secondary outcomes included predicting adverse outcomes within 2 weeks. The prognostic performance of the sFlt-1:PlGF ratio was assessed by using a derivation/validation design.Abstract
Hypertensive disorders in pregnancy (HDPs), defined as prepregnancy (chronic) or pregnancy-associated hypertension, are common pregnancy complications. HDPs are strongly associated with severe maternal complications, such as heart attack and stroke, and are a leading cause of pregnancy-related death. Among women with hypertensive disorders of pregnancy, biomarkers may stratify risk for developing preeclampsia with severe features (sPE).
References
Ananth CV, Keyes KM, Wapner RJ. Pre-eclampsia rates in the United States, 1980–2010: age-period-cohort analysis. BMJ2013; 347:f6564. DOI: 10.1136/bmj.f6564.
Crossref, Medline, Google Scholar
Ananth CV, Duzyj CM, Yadava S, Schwebel M, Tita ATN, Joseph KS. Changes in the prevalence of chronic hypertension in pregnancy, United States, 1970 to 2010. Hypertension2019; 74:1089-1095. DOI: 10.1161/HYPERTENSIONAHA.119.12968.
Crossref, Medline, ISI, Google Scholar
Gyamfi-Bannerman C, Pandita A, Miller EC, et al. Preeclampsia outcomes at delivery and race. J Matern Fetal Neonatal Med2020; 33:3619-3626. DOI: 10.1080/14767058.2019.1581522.
Crossref, Medline, ISI, Google Scholar
Chappell LC, Cluver CA, Kingdom J, Tong S. Pre-eclampsia. Lancet2021; 398:341-354. DOI: 10.1016/S0140-6736(20)32335-7.
Crossref, Medline, ISI, Google Scholar
Zhang J, Klebanoff MA, Roberts JM. Prediction of adverse outcomes by common definitions of hypertension in pregnancy. Obstet Gynecol2001; 97:261-267. DOI: 10.1016/S0029-7844(00)01125-X.
Crossref, Medline, ISI, Google Scholar
Baltajian K, Bajracharya S, Salahuddin S, et al. Sequential plasma angiogenic factors levels in women with suspected preeclampsia. Am J Obstet Gynecol2016; 215:89.e1-89.e10. DOI: 10.1016/j.ajog.2016.01.168.
Crossref, Medline, ISI, Google Scholar
Chaiworapongsa T, Romero R, Espinoza J, et al. Evidence supporting a role for blockade of the vascular endothelial growth factor system in the pathophysiology of preeclampsia. Am J Obstet Gynecol2004; 190:1541-1547. DOI: 10.1016/j.ajog.2004.03.043.
Crossref, Medline, ISI, Google Scholar
Zeisler H, Llurba E, Chantraine F, et al. Predictive value of the sFlt-1:PlGF ratio in women with suspected preeclampsia. N Engl J Med2016; 374:13-22. DOI: 10.1056/NEJMoa1414838.
Crossref, Medline, ISI, Google Scholar