2026
Extensive pregnancy-related off-treatment time in women with familial hypercholesterolaemia
KLEVMOEN, Marianne; van Lennep Jeanine ROETERS; Martin Proven BOGSRUD; Elisabeth Kleivhaug VESTERBEKKMO; Eva Kristine Ringdal PEDERSEN et al.Základní údaje
Originální název
Extensive pregnancy-related off-treatment time in women with familial hypercholesterolaemia
Autoři
KLEVMOEN, Marianne; van Lennep Jeanine ROETERS; Martin Proven BOGSRUD; Elisabeth Kleivhaug VESTERBEKKMO; Eva Kristine Ringdal PEDERSEN; Anders HOVLAND; Janneke W C M MULDER; Hilde Kristin BREKKE; Per Ole IVERSEN; Martina VACLOVA; Michal VRABLIK; Tomáš FREIBERGER ORCID; Kjetil RETTERSTOL a Kirsten B HOLVEN
Vydání
Atherosclerosis, Clare, ELSEVIER SCI IRELAND LTD, 2026, 0021-9150
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30201 Cardiac and Cardiovascular systems
Stát vydavatele
Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 5.700 v roce 2024
Označené pro přenos do RIV
Ano
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Familial hypercholesterolaemia; Pregnancy; Breastfeeding; Pregnancy-related off-treatment time
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 1. 4. 2026 13:52, Mgr. Tereza Miškechová
Anotace
V originále
Background and aims: Women with familial hypercholesterolaemia (FH) lose substantial treatment time during their reproductive years as most lipid-lowering therapies are contraindicated from the preconception through the end of breastfeeding. We examined the duration of real-life pregnancy-related off-treatment time in 27 women with FH in Norway. Methods: Women with FH in Norway who had completed the ongoing FH-FEMINA study (ClinicalTrials.gov ID NCT05367310) were included. Women were followed from 36th week of gestation and until one year after delivery or until end of breastfeeding. Information on use of medication before, during and after the current and previous pregnancies was collected. Pregnancy-related off-treatment time was calculated from discontinuation of lipid-lowering therapy when planning pregnancy, throughout pregnancy, and after delivery. Results: The total duration of pregnancy-related off-treatment time after all childbirths (median 1, range 1-3) per woman was a median of 2.9 years (25th-75th percentile; 1.6-4.0), ranging from 0.8 to 12 years. The pregnancy itself accounted for median of 42.1% of the pregnancy-related off-treatment time, whereas the time before and after pregnancy accounted for a median of 57.9% (range 11.4% to 91.2%). When including untreated years in childhood and/or prior to diagnosis, the lifelong off-treatment time represented a median of 66.3% (range 41.9 to 100%) of lifetime without treatment. Conclusion: Early diagnosis and initiation of treatment is essential in girls with FH to compensate for pregnancy-related off-treatment time later in life. To minimize these pregnancy-related off-treatment periods, healthcare professionals should support women with FH to resume lipid-lowering therapy immediately after breastfeeding and between pregnancies. In addition, more knowledge on the potential effects of statin use during pregnancy and breastfeeding on maternal and offspring health is urgently needed.