Wonderful talk at #AHA10 @MarilynCipolla on #preeclampsia and the Brain #neuroobstetrics #cardioobstetrics @uvmvermont @MaryCushmanMD
🧠Preeclampsia is vascular disorder
🧠Preeclampsia defined below @acog
🧠Once you have PE, greater 🫀 events, HTN, DM
🧠 But also BRAIN effects
#AHA20 #preeclampsia
🤰Preeclampsia is an exaggerated response of pregnancy induced inflammation, hyperlipidemia and hypercoagulation
⬆️ risk of:
🧠seizures
🧠stroke
🧠cognitive decline
🤰⬇️seizure threshold
🧠 #preeclampsia ⬆️ this susceptibility

#AHA20 @AHAMeetings @nataliebello9
Stroke Risk with #Preeclampsia also increase #AHA20
💥1/3 of pregnancy-related strokes have #Preeclampsia
🧠intracerebral hemmorrhage occurs frequently
🤰not included in stroke trials so we know little about what to do with them
Preeclampsia also associated with cognitive impairment: 🧠seen within 5 years of incident preeclampsia (so these are still young women!)
🧠changes seen in cognition and brain atrophy
⬆️ vascular dementia but not Alziehmer's Disease
@MarilynCipolla @AHAMeetings @MitchElkind
You can follow @DrMarthaGulati.
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