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Di Martino D, Cetin I, Frusca T, Ferrazzi E, Fuse' F, Gervasi MT, Plebani M, Todros T. Italian Advisory Board: sFlt-1/PlGF ratio and preeclampsia, state of the art and developments in diagnostic, therapeutic and clinical management. Eur J Obstet Gynecol Reprod Biol 2016; 206:70-73. [PMID: 27639603 DOI: 10.1016/j.ejogrb.2016.08.036] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2016] [Revised: 08/14/2016] [Accepted: 08/19/2016] [Indexed: 12/20/2022]
Abstract
Extensive research has been published, showing the usefulness of angiogenic markers in both diagnosis and subsequent prediction and management of preeclampsia and placenta-related disorders. Recent evidence provides a helpful cut off for the Elecsys ratio sFlt-1 to PlGF, that predicts preeclampsia development in women with sign and symptoms, before its clinical onset in the short term. In Europe, no accordance exists for the use of such kind of test in clinical practice; only German guidelines have recently taken it into account, as a diagnostic aid for preeclampsia, in conjunction with other clinical findings. This panel of Italian experts recently met, in order to review the literature and to promote the evaluation of the clinical utility of sFlt-1/PlGF ratio at the Italian country level, as regards: prediction of preeclampsia during the first trimester, prediction or exclusion of new onset or recurrence in patients with risk factors for preeclampsia, triage of patients suffering from gestational hypertension, evaluation of disease severity, prediction of adverse maternal and fetal outcomes.
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Affiliation(s)
- Daniela Di Martino
- Department of Woman, Mother and Neonate, Buzzi Children's Hospital, Biomedical and Clinical Sciences, School of Medicine, University of Milan, Milan, Italy.
| | - Irene Cetin
- Department of Mother and Child, Hospital Luigi Sacco, Center for Fetal Research "Giorgio Pardi", School of Medicine, University of Milan, Milan, Italy
| | - Tiziana Frusca
- Department of Mother and Child, Hospital of Parma, School of Medicine, University of Parma, Parma, Italy
| | - Enrico Ferrazzi
- Department of Woman, Mother and Neonate, Buzzi Children's Hospital, Biomedical and Clinical Sciences, School of Medicine, University of Milan, Milan, Italy
| | - Federica Fuse'
- Department of Woman, Mother and Neonate, Buzzi Children's Hospital, Biomedical and Clinical Sciences, School of Medicine, University of Milan, Milan, Italy
| | | | - Mario Plebani
- Department of Laboratory Medicine, Hospital of Padova, Padova, Italy
| | - Tullia Todros
- Department of Mother and Fetus, Hospital of Turin, Obstetrics and Gynecology Unit, School of Medicine, University of Turin, Turin, Italy
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