Pregnancy-Related Complications in Patients With Fibromuscular Dysplasia.
A Report From the European/International Fibromuscular Dysplasia Registry
Marco Pappaccogli, Aleksander Prejbisz, Simina Ciurică, Rosa Maria Bruno,
Anna Aniszczuk-Hybiak, Irene Bracalente, Tine De Backer, Frédéric Debiève,
Philippe Delmotte, Silvia Di Monaco, Faiçal Jarraya, Daniel Gordin, Przemysław Kosiński, Abraham A. Kroon, Angela H.E.M. Maas, Denise Marcon, Pietro Minuz, Enrique Montagud-Marrahi, Agnès Pasquet, Esteban Poch, Franco Rabbia, George S. Stergiou, Ilkka Tikkanen, Laurent Toubiana,
Wouter Vinck, Ewa Warchoł-Celińska, Patricia Van der Niepen, Peter de Leeuw, Andrzej Januszewicz, Alexandre Persu, and on behalf of the European/International Fibromuscular Dysplasia Registry and Initiative (FEIRI) and the Working Group “Hypertension and the Kidney” of the ESH.
July 2020 Hypertension
In conclusion, the prevalence of pregnancy-related complications such as gestational hypertension and preterm birth was high in patients with FMD, probably related to the severity of renal FMD. However, the prevalence of preeclampsia and arterial complications was low/moderate. These findings emphasize the need to screen hypertensive women for FMD to ensure revascularization before pregnancy if indicated and appropriate follow-up during pregnancy, without discouraging patients with FMD from considering pregnancy.
In conclusion, the prevalence of pregnancy-related complications such as gestational hypertension and preterm birth was high in patients with FMD, probably related to the severity of renal FMD. However, the prevalence of preeclampsia and arterial complications was low/moderate. These findings emphasize the need to screen hypertensive women for FMD to ensure revascularization before pregnancy if indicated and appropriate follow-up during pregnancy, without discouraging patients with FMD from considering pregnancy.