Preeclampsia Associated W/ Persistent Postpartum Cardiovascu

The Preeclampsia Foundation does not necessarily endorse any research or news found in this forum, we just want to share what is out there. Please use your own discretion to evaluate any information you find here.
User avatar
jean
Registered User
Posts: 675
Joined: Sun Jan 16, 638924 11:38 am

Re: Preeclampsia Associated W/ Persistent Postpartum Cardiov

Postby jean » Wed Jan 09, 639557 9:55 am

So my question is, does the pre-e cause the heart issues, or do the heart issues cause the pre-e?
Our first son was born and passed in Feb of 2010. Born at 29 weeks due to HELLP and passed due to NEC. We miss him every day. :~(

Our second son was born at 39 weeks gestation in Nov of 2011. No HELLP or pre-e! Took LDA starting at week 12 and went off of it at week 38!

http://findingtherainbowconnection.blogspot.com/

User avatar
JB
Registered User
Posts: 57
Joined: Sat Dec 31, 2011 4:29 am

Re: Preeclampsia Associated W/ Persistent Postpartum Cardiov

Postby JB » Sun Dec 16, 639556 2:04 am

My OB just had me get an EKG, but I haven't gotten the results yet. She is very cautious and has had me get every test imaginable to get a baseline of my health for this pregnancy, in case I develop PE again. She ordered it when she realized my nephrologist hadn't ordered one yet. I was seeing a nephrologist instead of a cardiologist for my post-PE hypertension care because I only have one kidney and need to have it checked out once a year anyway, but now my OB is managing all my care. My mom jokes that she is only ordering all these tests because I have insurance that will pay for them, but they do make me feel better (at least I know she is taking it seriously).
1st - miscarried at 11 weeks in Dec. 2009
2nd - baby girl born Mar. 2011 at 29 weeks 6 days due to severe PE
3rd - baby boy due June 19th, 2012

sam10
Forum Moderator
Posts: 1470
Joined: Mon Aug 12, 638920 11:33 pm
Location: Boston, MA

Re: Preeclampsia Associated W/ Persistent Postpartum Cardiov

Postby sam10 » Tue Sep 07, 639554 8:18 am

I never quite found more detailed information about the type of cardiovascular disease that PE ladies are at risk for. Any reference I have found usually just mentions that women who have had PE are at higher risk for cardiovascular diseases. Is there any more info available on that?
MC 3/2009 and 3/2011
H (1/1/2010-1/7/2010) - forever loved and missed; severe PE with Hellp; partial placental abruption, classical c-section at 25.6 weeks
M (Nov. 2012, born at 35.4 weeks) - severe PE

User avatar
caryn
Forum Moderator
Posts: 10203
Joined: Thu Feb 16, 637032 6:26 pm

Re: Preeclampsia Associated W/ Persistent Postpartum Cardiov

Postby caryn » Thu Aug 26, 639554 3:52 pm

I'm not entirely sure what to think about more screening, actually. We're already known to be at high risk of heart disease, and if it's asymptomatic but we're already doing the things we're supposed to be doing to strengthen our hearts and manage our existing risks, then I'm not sure a screening test would provide more information. I wonder if there would be anything we would do differently if they did an echo and found something, or if it would just be an expensive test that says yep, you're still supposed to get more exercise and keep your weight down...
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

User avatar
kerisue
Forum Moderator
Posts: 623
Joined: Mon Feb 13, 638936 9:51 am

Re: Preeclampsia Associated W/ Persistent Postpartum Cardiov

Postby kerisue » Thu Aug 26, 639554 1:02 am

I didn't just have asymptomatic postpartum heartfailure, I had symptomatic heart failure during the pregnancy! My heart has since returned to normal, but my primary care doc has been very reluctant to do any more aggressive testing/treatment for cardiovascular disease. I'm guessing she is not up to date on this research, but I may push it a bit more now.
Mama to Millie
born June 2010 @ 24 wks. gestation due to my severe PE and CHF
lived 25 days, loved and missed

alviarin
Forum Moderator
Posts: 1809
Joined: Tue May 06, 637659 3:13 am
Location: Texas

Re: Preeclampsia Associated W/ Persistent Postpartum Cardiov

Postby alviarin » Wed Aug 25, 639554 4:40 pm

I did after my second round of preeclampsia and my blood pressure never quite came back down to my pre-pregnancy baseline. I went to the cardiologist and my heart checked out ok. My HDL levels are low though.

Since I'm hypertensive I'm on a low dose of BP meds to help lower my long-term risks.
Hypothyroid mom to
Connor (severe pre-e at 38 weeks)
Claire (dx'd with pre-e and induction at 37 weeks)
Annabelle (chronic HTN & GD, superimposed pre-e @34 weeks, induction @37 weeks)

User avatar
caryn
Forum Moderator
Posts: 10203
Joined: Thu Feb 16, 637032 6:26 pm

Preeclampsia Associated W/ Persistent Postpartum Cardiovascu

Postby caryn » Sat Aug 14, 639554 6:15 am

http://hyper.ahajournals.org/content/58/4/709.short

The majority of preterm preeclamptic women have stage B asymptomatic heart failure postpartum, and 40% develop essential hypertension within 1 to 2 years after pregnancy. Women with a history of preterm preeclampsia may benefit from formal cardiovascular risk assessment in the 1 to 2 years after delivery to identify those who would benefit from targeted therapeutic intervention.

Have you had a formal cardiac workup? I'm thinking I need one.
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy


Return to “Announcements and Preeclampsia in the News”

Who is online

Users browsing this forum: No registered users and 16 guests