Evidence map›Paper›PMID 42333664›Full record

ArticleJournal of the American Heart Association2026

Endothelial Activation and Stress Index in Different Types of Hypertensive Pregnancy Disorders.

Anna S Scholz, Lena Büchler, Annabel Kussner, Kristina Killinger, Hannah Arndt, Michael Elsässer, Thomas Luft, Cahit Birdir, Stephanie Wallwiener, Alexandra von Au

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. 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. Article
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

10 authors.

Anna S ScholzDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg Germany.ORCID 0000-0002-3439-3872
Lena BüchlerDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg Germany.ORCID 0009-0005-4106-0987
Annabel KussnerDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg Germany.
Kristina KillingerDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg Germany.ORCID 0009-0008-8469-8405
Hannah ArndtDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg Germany.
Michael ElsässerDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg Germany.
Thomas LuftDepartment Medicine V, Hematology, Oncology, Rheumatology Heidelberg University Hospital Heidelberg Germany.ORCID 0000-0002-0387-1640
Cahit BirdirDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg Germany.
Stephanie WallwienerDepartment of Obstetrics and Fetal Medicine University Hospital Halle (Saale) Halle Germany.ORCID 0000-0003-2045-650X
Alexandra von AuDepartment of Gynecology and Obstetrics Heidelberg University Hospital Heidelberg Germany.ORCID 0000-0001-7649-4914

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndothelial dysfunction is a major contributor to the pathophysiology of preeclampsia and can be quantified by the simple formula, lactate dehydrogenase×creatinine/thrombocytes, termed the Endothelial Activation and Stress Index (EASIX). We evaluated EASIX in hypertensive disorders of pregnancy and its value in the assessment of preeclampsia.

methodsThis retrospective study included 465 patients with preeclampsia, 197 with chronic or gestational hypertension, and 894 controls who delivered at Heidelberg University Hospital between 2017 and 2022. Propensity score matching was used to balance confounding variables. A total of 3732 EASIX values were available for the analysis.

resultsThe mean age was 31.8±5.6 years (preeclampsia), 32.9±5.3 years (hypertension), and 31.7±5.8 years (controls). EASIX was significantly higher in patients with preeclampsia as compared with patients with hypertension (0.94±0.58 versus 0.60±0.28,

conclusionsEASIX is a simple marker that could potentially discriminate patients with preeclampsia from healthy controls. We propose that EASIX may serve as a promising additional biomarker in the assessment of preeclampsia, prompting us to explore its incorporation in potential combined biomarker models in clinical routine.

Indexed as

CreatinineEndothelium, VascularHypertension, Pregnancy-InducedL-Lactate DehydrogenasePre-EclampsiaAdultBiomarkersFemaleHumansPredictive Value of TestsPregnancyRetrospective StudiesBiomarkersCreatinineL-Lactate Dehydrogenaseelevated liver enzymesendothelial dysfunctionhemolysislow platelets syndromepredictionpreeclampsia

Identifiers

PMID42333664
PMCPMC13477395

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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.