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INNOSC Theranostics

                                                  and Pharmacological Sciences




                                        MINI-REVIEW
                                        Early identification of cardiovascular health

                                        risks in pre-eclampsia: A biomarker-centric
                                        perspective



                                        Abhishek Gupta * , Komal Shah 1  , and Vani Gupta 2
                                                      1,2
                                        1 Department of Public Health, Indian Institute of Public Health, Gandhinagar, Gujarat, India
                                        2 Department of Physiology, King George’s Medical University, Lucknow, Uttar Pradesh, India




                                        Abstract
                                        Pre-eclampsia is a complicated hypertensive pregnancy condition that has a
                                        major effect on the health of both the mother and the fetus and puts the affected
                                        women at risk for long-term cardiovascular (CV) problems. Despite advances in
                                        understanding its etiology, early detection of pre-eclampsia and its associated CV
                                        risks remains challenging. This mini-review emphasizes the critical role of biomarkers
                                        and advanced diagnostic techniques in addressing this gap. Emerging biomarkers,
                                        including angiogenic factors (soluble fms-like tyrosine kinase-1/placental growth
                                        factor ratio), metabolic and lipidomics markers, inflammatory cytokines, and
                                        exosomal components, provide promising pathways for early identification and risk
                                        stratification. Diagnostic techniques can be further improved by classifying these
            *Corresponding author:      biomarkers according to their capacity to predict long-term CV risks. Technological
            Abhishek Gupta              advancements, such as omics platforms, molecular imaging, wearable health
            (abhikgmu@gmail.com)        devices, and artificial intelligence (AI) and machine learning, further improve real-
            Citation: Gupta A, Shah K,   time detection and personalized management of pre-eclampsia. By focusing on
            Gupta V. Early identification of   biomarker-centric  predictors  of  CV  risks,  this  review  highlights  the  integration  of
            cardiovascular health risks in   multi-biomarker panels and AI-driven algorithms to optimize risk prediction. The
            pre-eclampsia: A biomarker-centric
            perspective. INNOSC Theranostics   transition from association to action is explored, with an emphasis on translating
            and Pharmacological Sciences.   knowledge into effective prevention strategies and improved risk assessment
            2025;8(3):93-100.           protocols. Structured postpartum follow-up is advocated to monitor and mitigate
            doi: 10.36922/itps.7839
                                        long-term CV risks in pre-eclamptic women. Practical applications, including
            Received: December 17, 2024  targeted interventions and personalized risk management strategies, are discussed.
            Revised: January 23, 2025   By bridging cutting-edge research and clinical practice, this review aims to enhance
                                        maternal health outcomes and advance preventative measures for CV diseases in
            Accepted: February 24, 2025
                                        women with a history of pre-eclampsia.
            Published online: March 6, 2025
            Copyright: © 2025 Author(s).   Keywords: Pre-eclampsia; Hypertension; Pregnancy; Cardiovascular disease; Biomarkers;
            This is an Open-Access article
            distributed under the terms of the   Health risk
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is
            properly cited.             1. Introduction
            Publisher’s Note: AccScience   Pre-eclampsia is a complex and potentially fatal pregnancy hypertensive condition that
            Publishing remains neutral with   manifests as proteinuria and new-onset hypertension after 20 weeks of pregnancy.  It
                                                                                                          1-4
            regard to jurisdictional claims in
            published maps and institutional   affects 5 – 15% of pregnancies worldwide and is a leading cause of maternal and perinatal
                                                           5,6
            affiliations.               morbidity and mortality.  This condition increases the risk of long-term cardiovascular
            Volume 8 Issue 3 (2025)                         93                               doi: 10.36922/itps.7839
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