Role of pregnancy hormones and hormonal interaction on the maternal cardiovascular system: a literature review

Clin Res Cardiol. 2019 Aug;108(8):831-846. doi: 10.1007/s00392-019-01441-x. Epub 2019 Feb 26.

Abstract

Hormones have a vital duty in the conservation of physiological cardiovascular function during pregnancy. Alterations in oestrogen, progesterone and prolactin levels are associated with changes in the cardiovascular system to support the growing foetus and counteract pregnancy stresses. Pregnancy hormones are, however, also linked to numerous pathophysiological outcomes on the cardiovascular system. The expression and effects of the three main pregnancy hormones (oestrogen, prolactin and progesterone) vary depending on the gestation period. However, the reaction of a target cell also depends on the abundance of hormone receptors and impacts put forth by other hormones. Hormonal interaction may be synergistic, antagonistic or permissive. It is crucial to explore the cross talk of pregnancy hormones during gestation, as this may have a greater impact on the overall changes to the cardiovascular system.

Keywords: Hormones; PPCM; Physiology of pregnancy; Pregnancy; Prolactin.

Publication types

  • Review

MeSH terms

  • Biomarkers / blood
  • Cardiovascular Diseases / blood*
  • Cardiovascular Diseases / physiopathology
  • Cardiovascular System / metabolism*
  • Estradiol / blood*
  • Female
  • Hemodynamics / physiology*
  • Humans
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / blood*
  • Pregnancy Complications, Cardiovascular / physiopathology
  • Progesterone / blood*
  • Prolactin / blood*

Substances

  • Biomarkers
  • Progesterone
  • Estradiol
  • Prolactin