Evidence map›Paper›PMID 33619970›Full record

ArticleJournal of the American Heart Association2021

Long-Term Postpartum Cardiac Function and Its Association With Preeclampsia.

Victoria A deMartelly, John Dreixler, Avery Tung, Ariel Mueller, Sarah Heimberger, Abid A Fazal, Heba Naseem, Roberto Lang, Eric Kruse, Megan Yamat and 5 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The pathophysiology of pre-eclampsia.Nature reviews. Nephrology · 2026
    Review
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  6. Observational
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  9. Placental Macrovascular Pattern from Pregnancies with Maternal Hypertensive and Fetal Growth Capacity Complications.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
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  11. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Victoria A deMartellyDepartment of Obstetrics and Gynecology University of Chicago IL.
John DreixlerDepartment of Anesthesia and Critical Care University of Chicago IL.
Avery TungDepartment of Anesthesia and Critical Care University of Chicago IL.
Ariel MuellerDepartment of Anesthesia Critical Care and Pain Medicine Massachusetts General HospitalHarvard Medical School Boston MA.
Sarah HeimbergerDepartment of Obstetrics and Gynecology University of Chicago IL.
Abid A FazalDepartment of Anesthesia and Critical Care University of Chicago IL.
Heba NaseemDepartment of Obstetrics and Gynecology University of Chicago IL.
Roberto LangDepartment of Medicine University of Chicago IL.
Eric KruseDepartment of Obstetrics and Gynecology University of Chicago IL.
Megan YamatDepartment of Obstetrics and Gynecology University of Chicago IL.
Joey P GrangerDepartment of Physiology and Biophysics University of Mississippi Medical Center Jackson MS.
Bhavisha A BakraniaDepartment of Physiology and Biophysics University of Mississippi Medical Center Jackson MS.
Javier Rodriguez-KovacsDepartment of Obstetrics and Gynecology University of Chicago IL.
Sarosh RanaDepartment of Obstetrics and Gynecology University of Chicago IL.
Sajid ShahulDepartment of Anesthesia and Critical Care University of Chicago IL.
University of Chicago · USJackson Memorial Hospital · USHarvard University · US

Funding

Guideline-directed management and therapy (GDMT) for the prevention of postpartum cardiac dysfunction in preeclamptic African American womenR01HL148191 · NHLBI · UNIVERSITY OF CHICAGO · PI SHAHUL, SAJID · 2021 to 2025
$3.8M
NHLBI NIH HHS R01 HL148191
6 · The paper itself

Abstract

Background Preeclampsia is a prominent risk factor for long-term development of cardiovascular disease. Although existing studies report a strong correlation between preeclampsia and heart failure, the underlying mechanisms are poorly understood. One possibility is the glycoprotein growth factor activin A. During pregnancy, elevated activin A levels are associated with impaired cardiac global longitudinal strain at 1 year, but whether these changes persist beyond 1 year is not known. We hypothesized that activin A levels would remain increased more than 1 year after a preeclamptic pregnancy and correlate with impaired cardiac function. Methods and Results To test our hypothesis, we performed echocardiograms and measured activin A levels in women approximately 10 years after an uncomplicated pregnancy (n=25) or a pregnancy complicated by preeclampsia (n=21). Compared with women with a previously normal pregnancy, women with preeclampsia had worse global longitudinal strain (-18.3% versus -21.3%,

Indexed as

ActivinsAdultBiomarkersEchocardiographyFemaleFollow-Up StudiesHeart DiseasesHeart VentriclesHumansMyocardial ContractionPostpartum PeriodPre-EclampsiaPregnancyPrognosisRetrospective StudiesTime Factorsactivin AActivinsBiomarkerscardiac dysfunctionglobal longitudinal strainhypertensionpreeclampsia/pregnancypregnancy and postpartum

Identifiers

PMID33619970
PMCPMC8174300
OpenAlexW3129799860

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.