Soluble Flt1 levels are associated with cardiac dysfunction in Black women with and without severe preeclampsia

Background: We evaluate soluble fms-like tyrosine kinase-1 (sFlt-1) levels and cardiac function during pregnancy and postpartum among Black women with and without preeclampsia. Study design: Prospective longitudinal cohort study from 2015 to 2017 of Black women with preterm severe preeclampsia and n...

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Main Authors: Lisa Levine (Author), Zolt Arany (Author), Adina Kern-Goldberger (Author), Nathanael Koelper (Author), Jennifer Lewey (Author), Mary D. Sammel (Author), Michal A. Elovitz (Author), Bonnie Ky (Author)
Format: Book
Published: Taylor & Francis Group, 2021-01-01T00:00:00Z.
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Summary:Background: We evaluate soluble fms-like tyrosine kinase-1 (sFlt-1) levels and cardiac function during pregnancy and postpartum among Black women with and without preeclampsia. Study design: Prospective longitudinal cohort study from 2015 to 2017 of Black women with preterm severe preeclampsia and normotensive pregnant controls.We obtained echocardiograms and sFlt-1 levels during pregnancy and postpartum. Results: 93 Black women were included (43 cases, 50 controls). Higher sFlt1 levels were correlated with worse longitudinal strain, diastolic dysfunction, decreased ventricular-arterial coupling, and increased chamber and arterial elastance at the time of preeclampsia diagnosis and postpartum. Conclusions: Higher sFlt1 levels are associated with cardiovascular dysfunction during pregnancy and postpartum.
Item Description:1064-1955
1525-6065
10.1080/10641955.2020.1861462