Evidence map›Paper›PMID 39949098›Full record

SynthesisCurrent cardiology reviews2025

Association of Hypertensive Disorders of Pregnancy and their Clinical Features with Peripartum Cardiomyopathy: A Systematic Review and Meta-analysis.

Wilbert Huang, Siti Shofiah Syahruddin, Alexandra Aurelia Johansyah, Siti Saqinah Suriadiredja, Dhanny Primantara Johari Santoso, R M Sonny Sasotya, Muhammad Alamsyah Azis, Adhi Pribadi, Hawani Sasmaya Prameswari

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Current cardiology reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Wilbert HuangMedical School, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0003-4637-0819
Siti Shofiah SyahruddinMedical School, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Alexandra Aurelia JohansyahMedical School, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Siti Saqinah SuriadiredjaMedical School, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Dhanny Primantara Johari SantosoDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
R M Sonny SasotyaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Muhammad Alamsyah AzisDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Adhi PribadiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Hawani Sasmaya PrameswariDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeripartum Cardiomyopathy (PPCM) is a rare yet fatal cardiac disease associated with pregnancy. PPCM has been shown to have similar etiopathogenesis with hypertensive disorders of pregnancy (HDP). Hence, this study aims to study the association between HDP and the development of PPCM.

methodsThree databases (PubMed, Scopus, Cochrane Library) were searched and screened based on prespecified inclusion and exclusion criteria. Predictors of PPCM evaluated were HDP (preeclampsia, superimposed preeclampsia, chronic hypertension, and gestational hypertension) and its clinical features (severe preeclampsia, age, parity, serum creatinine, etc.). Data were analyzed using the random effects model of pooled odds ratios (ORs) with the Mantel Haenszel method, and publication bias was assessed with a funnel plot.

resultsA total of 13 observational studies with 11,951 PPCM cases from 7 countries were identified. All types of HDP were associated with significantly increased odds of developing PPCM, and severe preeclampsia was associated with the highest OR of 13.33 (CI: 5.95 - 29.83, p < 0.01). Additionally, superimposed preeclampsia, chronic hypertension, preeclampsia, and lastly gestational hypertension were associated with increased odds of PPCM with OR 5.77, 4.73, 4.70, and 3.13, respectively. Other clinical features being statistically significant for PPCM development included advanced age > 35 years and multiple pregnancies (p < 0.05). No significant difference in creatinine level was found between PPCM and no PPCM group. No publication bias was found based on funnel plot assessment.

conclusionHDP, especially severe preeclampsia, is associated with increased odds of PPCM development; hence, a low threshold for PPCM screening in this high-risk group is required.

Indexed as

CardiomyopathiesHypertension, Pregnancy-InducedPregnancy Complications, CardiovascularFemaleHumansPeripartum CardiomyopathyPeripartum PeriodPregnancyRisk Factorschronic hypertensiongestational hypertensionHypertensive disorders of pregnancyperipartum cardiomyopathy.preeclampsiasuperimposed preeclampsia

Identifiers

PMID39949098
PMCPMC12676040

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Registered trials

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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.