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Preeclampsia tied to risk of early coronary disease: insulin resistance a shared factor.(News)

OB GYN News

| November 15, 2003 | Jancin, Bruce | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

VIENNA -- Preeclampsia is a strong independent risk factor for development of premature coronary artery disease, Dr. Risto Juhani Kaaja said at the annual congress of the European Society of Cardiology.

In his case-control study, preeclampsia in any pregnancy independently conferred a 4.6-fold increased risk of documented coronary artery disease prior to age 65, placing it on a par as a coronary risk factor with current smoking, which was associated with a 4.2-fold increased risk.

Preeclampsia complicates 5%-10% of pregnancies. In light of these new findings linking it to increased coronary disease risk, it is particularly important to red-flag affected women and strongly encourage them to stop smoking, avoid obesity, and prevent or treat hyperlipidemia and hypercholesterolemia, said Dr. Kaaja of Helsinki (Finland) University. He reported on 141 parous women with coronary artery disease diagnosed prior to age 65 and 211 age-matched controls without known coronary disease. A history of preeclampsia was present in 21% of the coronary patients, compared with just 3% of controls.

Multiple logistic regression analysis identified several independent risk ...


    
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