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首页> 外文期刊>Sao Paulo Medical Journal >Risk factors for cardiovascular disease ten years after preeclampsia
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Risk factors for cardiovascular disease ten years after preeclampsia

机译：先兆子痫后十年的心血管疾病危险因素

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CONTEXT AND OBJECTIVE: Preeclampsia is a gestational disease that occurs mainly among nulliparous women after the 20th week of gestation, and frequently close to delivery. The effects of preeclampsia on women's blood pressure over the long term are still controversial. Patients with recurrent preeclampsia or preeclampsia in the early stages of pregnancy appear to present higher risk of hypertension. The aim of this study was to determine the risk factors for cardiovascular disease among women with preeclampsia 10 years earlier. DESIGN AND SETTING: Cross-sectional study at Hospital de Clínicas de Porto Alegre (HCPA). METHODS: Forty women with preeclampsia and 14 normotensive pregnant women followed up 10 or more years earlier at HCPA underwent clinical and laboratory examinations. Spearman's correlation coefficient was used to correlate body mass index (BMI) and systolic and diastolic pressures. The risk of developing hypertension was measured using the chi-square test. P < 0.05 was considered significant. RESULTS: The patients with preeclampsia 10 or more years earlier had significantly higher diastolic blood pressure (P = 0.047), BMI (P = 0.019) and abdominal circumference (P = 0.026). They presented positive correlations between BMI and diastolic blood pressure (0.341; P = 0.031) and between BMI and systolic blood pressure (0.407; P = 0.009). CONCLUSION: The patients with preeclampsia 10 or more years earlier had significantly higher diastolic blood pressure, BMI and abdominal circumference than did the control group. This emphasizes the importance of long-term follow-up assessment for cardiovascular risk factors among patients with preeclampsia.
机译：背景与目的：先兆子痫是一种妊娠疾病，主要发生在妊娠20周后的未产妇中，并且经常接近分娩。从长期来看，先兆子痫对女性血压的影响仍存在争议。子痫前期复发或妊娠早期子痫前期的患者出现高血压的风险更高。这项研究的目的是确定10年前患有先兆子痫的女性患心血管疾病的危险因素。设计与地点：阿雷格里港医院（HCPA）的横断面研究。方法：40名患有先兆子痫的妇女和14名血压正常的孕妇在HCPA进行了10年或更早的随访，接受了临床和实验室检查。 Spearman相关系数用于将体重指数（BMI）与收缩压和舒张压相关联。使用卡方检验测量发生高血压的风险。 P <0.05被认为是显着的。结果：10年或更早先兆子痫患者的舒张压（P = 0.047），BMI（P = 0.019）和腹围（P = 0.026）显着较高。他们表示BMI与舒张压之间呈正相关（0.341; P = 0.031），BMI与收缩压之间呈正相关（0.407; P = 0.009）。结论：早于先兆子痫的患者在10年或更早之前的舒张压，BMI和腹围明显高于对照组。这强调了子痫前期患者对心血管危险因素进行长期随访评估的重要性。

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