Cardiovascular Risk After Preeclampsia
Study Details
Study Description
Brief Summary
Investigation of cardiovascular risk 5-15 years after early or late-onset preeclampsia by adenosine stress Magnetic Resonance Imaging and non-invasive methods like retinal vessel analysis, skin measurement of advanced glycation end products, flow-mediated dilation or pulse wave analysis in comparison to women after healthy pregnancies.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Early-onset preeclampsia Defined as preeclampsia that develops before 34 weeks of gestation |
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Late-onset preeclampsia Defined as preeclampsia that develops after 34 weeks of gestation |
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Control Healthy pregnancies, matched to early and late-onset cases |
Outcome Measures
Primary Outcome Measures
- Myocardial perfusion [Day 2]
Measured by adenosine stress Magnetic Resonance Imaging (ml/min/g)
Secondary Outcome Measures
- Cardiac fibrosis [Day 2]
Measured by Magnetic Resonance Imaging (g)
- Immune cell phenotypes [Day 1]
Measured in isolated peripheral blood mononuclear cells
- Concentration of N-terminal prohormone of brain natriuretic peptide [Day 1]
Measured in serum (ng/l)
- Concentration of brain natriuretic peptide [Day 1]
Measured in serum (ng/l)
- Urinary protein [Day 1]
Measured in spot urine (mg)
- Advanced glycation end products [Day 1]
Measured by skin autofluorescence (arbitrary units)
- Body fat mass [Day 1]
Measured by bioimpedance analysis (%)
- Body fat-free mass [Day 1]
Measured by bioimpedance analysis (%)
- Hand grip strength [Day 1]
Measured by dynamometer (kg)
- Systolic blood pressure [Day 1]
Mean of three consecutive blood pressure measurements (mmHg)
- Diastolic blood pressure [Day 1]
Mean of three consecutive blood pressure measurements (mmHg)
- Pulse wave velocity [Day 1]
Calculated by algorithm based on age and blood pressure values (m/s)
- Flow-mediated dilation [Day 1]
Measured by brachial artery diameter (µm)
- Reactive hyperemia index [Day 1]
Measured by finger plethysmography
- Choroidal thickness [Day 1]
Measured with Optical Coherence Tomography (µm)
- Macular volume [Day 1]
Measured with Optical Coherence Tomography (mm³)
- Arterial dilation induced by retinal flicker stimulation [Day 1]
Measured with Dynamic Vessel Analyser (seconds)
- Venous dilation induced by retinal flicker stimulation [Day 1]
Measured with Dynamic Vessel Analyser (seconds)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Women
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18-60 years
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5-15 years postpartum
Exclusion Criteria:
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Atrioventricular block, chronic obstructive pulmonary disease, bronchial asthma
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Pregnancy and/or active breastfeeding
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Glaucoma disease, epilepsy
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In addition for MRI: metal implants, electric devices, intolerance of contrast media, claustrophobia, renal or hepatic dysfunction (GFR < 30 ml/min)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Experimental and Clinical Research Center | Berlin | Germany | 13125 |
Sponsors and Collaborators
- Charite University, Berlin, Germany
Investigators
- Principal Investigator: Anja Mähler, PhD, Charite University, Berlin, Germany
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CARPE