SUN-227 HyperAldosteronism in Pregnancy Predicted Impacts (H.A.P.P.I. Project):A Prospective Cohort Study
Notice bibliographique
Résumé
Abstract Disclosure: D. Oprea: None. A. Groleau: None. D. Laura: None. F. Lefrançois: None. M. Malick: None. A. Côté: None. M. Roy-Lacroix: None. M. Mahone: None. M. St-Jean: None. N. Sauvé: None. Background and Purpose: Primary aldosteronism (PA) is a frequent cause of secondary hypertension in young adults. However, to this day, there is still limited data regarding its prevalence and impact during pregnancy. Methods: The prospective phase of the H.A.P.P.I. project consisted of a bicentric cohort study, which was conducted between 2022 and 2024 in Quebec, Canada. All patients diagnosed with hypertensive disorders of pregnancy (HDP) who delivered in one of two university centers were eligible and were recruited during their post-partum follow-up to be screened for PA with an aldosterone/renin ratio (ARR). Additional confirmatory testing was performed if positive screening, according to local reference values. Patients with other endocrinopathies or secondary aldosteronism were excluded. Our primary objective was to determine PA prevalence among patients who experienced any subtype of HDP. Results: Among 240 included patients, 232 patients have completed their ARR screening. Preliminary results have shown positive screening in 18.1 % (n = 42) of patients, of which additional testing confirmed 18 (7.8%) PA diagnoses. Additional testing is pending for 24 patients. 44.4% (n = 8/18) of patients with confirmed PA were of African descent, as opposed to 10.0% in patients with negative PA screening (p < 0.001). Hypokalemia prevalence was not different between patients with positive PA screening and the ones with negative screening (antepartum: 14.3% (n = 3/21) vs. 13.0%, p = 1.00; post-partum: 7.1% (n = 2/28) vs. 8.3%, p = 1.00). 61.9% of patients with positive PA screening (n = 26/42) required labor induction because of HDP occurrence, compared to 49.5% of patients with negative PA screening (p = 0.173). Pre-eclampsia (54.8% (n = 23/42)) was the most frequent type of HDP in patients with positive PA screening, compared to chronic (19.1% (n = 8/42)) and gestational hypertension (40.5% (n = 17/42)). There was no difference between antepartum preeclampsia (72.9%, vs 75.6%, p = 1.00), postpartum preeclampsia (26.1%, vs. 24.4%, p = 1.00), and preeclampsia with adverse conditions (42.9%, vs. 41.6%, p = 1.00) compared to patients with negative ARR screening. Conclusion: So far, an estimated PA prevalence of 7.8% was described in patients recently diagnosed with HDP, who presented mainly as antepartum preeclampsia. Final results will be presented at the conference. Keywords: Primary Hyperaldosteronism, Aldosterone, Hypertension, Pregnancy-Induced, Pregnancy, Pregnant Women, Pregnancy Outcome. Presentation: Sunday, July 13, 2025
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
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