Connecting the Dots: Exploring the Interplay Between Preeclampsia and Peripartum Cardiomyopathy.


Journal

Journal of pregnancy
ISSN: 2090-2735
Titre abrégé: J Pregnancy
Pays: Egypt
ID NLM: 101553823

Informations de publication

Date de publication:
2024
Historique:
received: 25 01 2024
revised: 01 05 2024
accepted: 03 05 2024
medline: 3 7 2024
pubmed: 3 7 2024
entrez: 3 7 2024
Statut: epublish

Résumé

Preeclampsia and peripartum cardiomyopathy (PPCM) are significant obstetric problems that can arise during or after pregnancy. Both are known to be causes of maternal mortality and morbidity. Several recent studies have suggested a link between preeclampsia and the pathophysiology of PPCM. However, the common thread that connects the two has yet to be thoroughly and fully articulated. Here, we investigate the complex dynamics of preeclampsia and PPCM in this review. Our analysis focuses mainly on inflammatory and immunological responses, endothelial dysfunction as a shared pathway, and potential genetic predisposition to both diseases. To begin, we will look at how excessive inflammatory and immunological responses can lead to clinical symptoms of both illnesses, emphasizing the role of proinflammatory cytokines and immune cells in modifying vascular and tissue responses. Second, we consider endothelial dysfunction to be a crucial point at which endothelial damage and activation contribute to pathogenesis through increased vascular permeability, vascular dysfunction, and thrombus formation. Finally, we examine recent information suggesting genetic predispositions to preeclampsia and PPCM, such as genetic variants in genes involved in the management of blood pressure, the inflammatory response, and heart structural integrity. With this synergistic study, we seek to encourage more research and creative therapy solutions by emphasizing the need for an interdisciplinary approach to understanding and managing the connection between preeclampsia and PPCM.

Identifiants

pubmed: 38957710
doi: 10.1155/2024/7713590
pmc: PMC11219213
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

7713590

Informations de copyright

Copyright © 2024 Khanisyah Erza Gumilar et al.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Auteurs

Khanisyah Erza Gumilar (KE)

Department of Obstetrics and Gynecology Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
Department of Obstetrics and Gynecology Hospital of Universitas Airlangga, Surabaya, Indonesia.

Khairunnisa Binti Abd Rauf (KBA)

Department of Obstetrics and Gynecology Hospital of Universitas Airlangga, Surabaya, Indonesia.

Muhammad Ilham Aldika Akbar (MIA)

Department of Obstetrics and Gynecology Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
Department of Obstetrics and Gynecology Hospital of Universitas Airlangga, Surabaya, Indonesia.

Nareswari Cininta Imanadha (NC)

Department of Obstetrics and Gynecology Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
Department of Obstetrics and Gynecology Dr Soetomo General Hospital, Surabaya, Indonesia.

Susetyo Atmojo (S)

National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.

Alisia Yuana Putri (AY)

Department of Cardiology Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.

Erry Gumilar Dachlan (EG)

Department of Obstetrics and Gynecology Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.
Department of Obstetrics and Gynecology Dr Soetomo General Hospital, Surabaya, Indonesia.

Gus Dekker (G)

Women's and Children's Division Lyell McEwin Hospital Medical School North University of Adelaide, Adelaide, Australia.

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Classifications MeSH