Abstract
Preeclampsia is a leading complication of pregnancy that lacks accurate tools for its early prediction. Improved risk stratification tools early in pregnancy would enable more efficient allocation of limited healthcare resources while ensuring that pregnant women destined to develop preeclampsia receive appropriate care. This brief perspective highlights the current state of first-trimester preeclampsia prediction. We focus on arterial stiffness, an important hemodynamic indicator of vascular health that has shown promising results for improved early prediction of preeclampsia by our and independent research groups. Further, we outline the promise, applicability, and feasibility of integrating arterial stiffness assessments into clinical practice.

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Funding
The PULSE Study is funded by the Canadian Institutes of Health Research (PJT-168918). MF is supported by a FRQS Doctoral Training Award.
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MF, MM, BVS, HPQ, and SSD contributed to the conceptualization of the manuscript and outline of presented ideas. MF, MM, and BVS performed the literature review. MF drafted the manuscript, MM designed Table 1, and BVS designed the graphical abstract. BS and JS contributed scientific input and clinical review throughout the drafting process. All authors critically reviewed and approved the final version of the manuscript.
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Forrest, M., Matossian, M., Valdes Sustaita, B. et al. Arterial stiffness as a novel tool for the early prediction of preeclampsia: a perspective. J Hum Hypertens 38, 745–749 (2024). https://doi.org/10.1038/s41371-024-00967-6
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DOI: https://doi.org/10.1038/s41371-024-00967-6