Assessment of novel cardiovascular biomarkers in women with a history of recurrent miscarriage

M. M. Wagner*, J. W. Jukema, W. Hermes, S. le Cessie, C. J.M. de Groot, J. A. Bakker, J. M.M. van Lith, K. W.M. Bloemenkamp

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objectives: A history of recurrent miscarriage is associated with future cardiovascular disease. The aim of this study was to determine novel cardiovascular biomarkers in women with a history of recurrent miscarriage as this might lead to a better understanding of the association. Study design: Women who visited the recurrent miscarriage clinic at Leiden University Medical Centre (between 2000 and 2010), and had three consecutive miscarriages ≤30 years were invited to participate in this follow-up study (between 2012 and 2014). The reference group consisted of women with at least one uncomplicated pregnancy and a history of no miscarriage, matched on zip code, age, and date of pregnancy. Main outcome measures: Cardiovascular biomarkers were determined, classified into; inflammation (HsCRP, lipoprotein-associated phospholipase A2), thrombosis (homocysteine, folate, anti-cardiolipin antibodies and anti-ß-2-glycoprotein antibodies), lipid metabolism (lipoprotein(a)), renal function (creatinine, microalbuminuria), myocardial damage (N-terminal pro-brain natriuretic peptide, high sensitive TroponineT) and multiple mechanisms (albumin, vitamin D). Results: In both groups, 36 women were included. Women with recurrent miscarriage had a significantly higher median HsCRP (1.49 mg/L) compared to women with no miscarriage (1.01 mg/L, p = 0.03) and a significantly lower mean albumin (46.0 vs 47.6g/L, p = 0.004) and vitamin D (55.6 vs 75.4nmol/L, p = 0.007), respectively. Differences remained after adjustments for classic cardiovascular risk factors (BMI, smoking, diabetes mellitus, and hypertension). Conclusions: Our findings suggest a proinflammatory state in women with a history of recurrent miscarriage, which suggests a less optimal health, compared to women with no miscarriage. More research (observational and intervention) is warranted to investigate the association with vitamin D.

Original languageEnglish
Pages (from-to)129-135
Number of pages7
JournalPregnancy Hypertension
Volume11
DOIs
Publication statusPublished - 1 Jan 2018

Cite this

Wagner, M. M., Jukema, J. W., Hermes, W., le Cessie, S., de Groot, C. J. M., Bakker, J. A., ... Bloemenkamp, K. W. M. (2018). Assessment of novel cardiovascular biomarkers in women with a history of recurrent miscarriage. Pregnancy Hypertension, 11, 129-135. https://doi.org/10.1016/j.preghy.2017.10.012