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Vascular Dysfunction in Mother and Offspring During Preeclampsia: Contributions from Latin-American Countries

  • Preeclampsia (VD Garovic, Section Editor)
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Abstract

Pregnancy is a physiologically stressful condition that generates a series of functional adaptations by the cardiovascular system. The impact of pregnancy on this system persists from conception beyond birth. Recent evidence suggests that vascular changes associated with pregnancy complications, such as preeclampsia, affect the function of the maternal and offspring vascular systems, after delivery and into adult life. Since the vascular system contributes to systemic homeostasis, defective development or function of blood vessels predisposes both mother and infant to future risk for chronic disease. These alterations in later life range from fertility problems to alterations in the central nervous system or immune system, among others. It is important to note that rates of morbi-mortality due to pregnancy complications including preeclampsia, as well as cardiovascular diseases, have a higher incidence in Latin-American countries than in more developed countries. Nonetheless, there is a lack both in the amount and impact of research conducted in Latin America. An impact, although smaller, can be seen when research in vascular disorders related to problems during pregnancy is analyzed. Therefore, in this review, information about preeclampsia and endothelial dysfunction generated from research groups based in Latin-American countries will be highlighted. We relate the need, as present in many other countries in the world, for increased effective regional and international collaboration to generate new data specific to our region on this topic.

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Acknowledgements

We would like to thank all research staff from the Red Iberoamericana de alteraciones Vasculares Asociadas a TRastornos del EMbarazo (RIVA-TREM). We appreciate Ms. Lee Rager for her editorial assistance in the preparation of this manuscript.

Funding

Carlos Escudero is financially supported by Fondecyt Regular 1140586, Fondequip EQM140104, DIUBB 166709 3/R, and GI 171709/VC. Carlos Galaviz-Hernandez is financially supported by CONACYT-México FOSISS 162338 and 162368. María P. Ramos is financially supported by SAF2014-56671-R.

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This work was carried out as a full collaboration among all the authors. Carlos Escudero defined the research topic. Fernanda Regina Giachini and Victor Vitorino Lima conducted data analysis and epidemiology. Carlos Galaviz-Hernandez and Martha Sosa-Macias contributed with the diagnostic criteria section and drafted the article, as well as elaborated tables and epidemiology section figures. All authors contributed in the discussion and review of the manuscript. All authors approved the final version.

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Correspondence to Carlos Escudero.

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This article does not contain any studies with human or animal subjects performed by any of the authors.x

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This article is part of the Topical Collection on Preeclampsia

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Giachini, F.R., Galaviz-Hernandez, C., Damiano, A.E. et al. Vascular Dysfunction in Mother and Offspring During Preeclampsia: Contributions from Latin-American Countries. Curr Hypertens Rep 19, 83 (2017). https://doi.org/10.1007/s11906-017-0781-7

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