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Pregnancy induces retinal microvascular changes indicating cardio-metabolic stress

A. Dathan-Stumpf, H. Stepan, E. Valterova, R. Jakubicek, C. Berbée, ML. Seidenspinner, R. Kolar, FG. Rauscher

. 2024 ; 35 (-) : 30-31. [pub] 20231219

Language English Country Netherlands

Document type Case Reports, Journal Article

Persistent link   https://www.medvik.cz/link/bmc24006944

We performed longitudinal examinations of the arterial retinal microvasculature using Adaptive Optics Retinal Imaging in a 30-year-old healthy woman with twin pregnancy from the 23rd week of gestation (wog) to three days postpartum. Two blinded graders recorded the average wall-to-lumen ratio (WLR) of the examined retinal artery. There was a significant increase in the mean WLR over the course of pregnancy followed by a decreasing WLR from the 37th wog. The demonstrated changes in WLR may be an expression of vascular remodeling and adaptation to volume load which indicates that pregnancy can be viewed as a cardiovascular stress test.

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$a We performed longitudinal examinations of the arterial retinal microvasculature using Adaptive Optics Retinal Imaging in a 30-year-old healthy woman with twin pregnancy from the 23rd week of gestation (wog) to three days postpartum. Two blinded graders recorded the average wall-to-lumen ratio (WLR) of the examined retinal artery. There was a significant increase in the mean WLR over the course of pregnancy followed by a decreasing WLR from the 37th wog. The demonstrated changes in WLR may be an expression of vascular remodeling and adaptation to volume load which indicates that pregnancy can be viewed as a cardiovascular stress test.
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$a Stepan, Holger $u Department of Obstetrics, Leipzig University Medical Center, 04103 Leipzig, Germany. Electronic address: holger.stepan@medizin.uni-leipzig.de
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$a Valterova, Eva $u Department of Biomedical Engineering, Faculty of Electrical Engineering and Communication, Brno University of Technology, Brno, Czech Republic. Electronic address: valterova@vut.cz
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$a Jakubicek, Roman $u Department of Biomedical Engineering, Faculty of Electrical Engineering and Communication, Brno University of Technology, Brno, Czech Republic. Electronic address: jakubicek@vut.cz
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$a Berbée, Clara $u Department of Gynecology, Leipzig University Medical Center, 04103 Leipzig, Germany. Electronic address: clara.berbee@medizin.uni-leipzig.de
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$a Seidenspinner, Marie-Louise $u Department of Obstetrics, Leipzig University Medical Center, 04103 Leipzig, Germany. Electronic address: marie-louise.seidenspinner@medizin.uni-leipzig.de
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$a Kolar, Radim $u Department of Biomedical Engineering, Faculty of Electrical Engineering and Communication, Brno University of Technology, Brno, Czech Republic. Electronic address: kolarr@vut.cz
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$a Rauscher, Franziska G $u Institute for Medical Informatics, Statistics and Epidemiology (IMISE), Leipzig University 04103 Leipzig, Germany; Medical Data Science, Leipzig University Medical Center, Leipzig, Germany. Electronic address: franziska.rauscher@medizin.uni-leipzig.de
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