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sFLT-1/PLGF – Ratio | Preeclampsia Marker

Known as:sFlt-1/PlGF – ratio, a marker of pre-eclampsia
SKU: 1538

315.00

Study material: Venous blood
Response time (working day): 14
The test is done on an empty stomach: no
Home call service: Yes
Country: EU

General Information

Sample submission day is Saturday

Sample collection will be carried out: in regional branches – on Monday. in Tbilisi branches – on Monday or Tuesday in the first half of the day.

 

 

sFlt-1/PlGF ratio — a biomarker for preeclampsia

sFlt-1/PlGF ratio Is a laboratory test used during pregnancy Preeclampsia To support developmental risk assessment and diagnostics.

Preeclampsia is a pregnancy complication characterized by With increased blood pressure and may be associated with dysfunction of various organs. Its development is associated with dysfunction of placental blood vessels and changes in the process of angiogenesis (the formation of new blood vessels).

sFlt-1 და PlGF Represents biomarkers produced by the placenta:

  • sFlt-1 (soluble fms-like tyrosine kinase-1) — An anti-angiogenic factor, an increase in which may indicate placental dysfunction.
  • PlGF (placental growth factor) — Promotes normal blood vessel development; its levels are often reduced in preeclampsia.

Placental growth factor PLGF The concentration in the first trimester is low, it starts to increase from 11-12 weeks. It reaches its peak by 30 weeks, after which the tendency to decrease again is observed.

sFLT-1 is elevated in preeclampsia.

sFLT-1/PLGF  The ratio of angiogenic factors, together with the patient's anamnesis and ultrasound data, provides an opportunity to predict preeclampsia.

Long-term clinical studies have shown that pregnant women who will develop preeclampsia in the future have circulating sFLT-1Increase in concentration and PlGF A decrease in concentration, a few weeks before the development of preeclampsia.     sFLT-1/PLGF   The ratio is directly related to the severity of the disease.

 

Determining the severity of the disease

In hospitalized patients, it is often necessary to repeat the ratio in 48 hours. A sharp increase in the index indicates the worsening of the disease. If the indicator is unchanged, it indicates more or less stability of the situation. Verification is required no later than 2 weeks.

Study material: Venous blood

 

When should we take the test?

sFLT-1/PlGF  Determining the ratio is informative in determining the need for hospitalization of pregnant women with hypertension, especially if:

  • Non-specific symptoms of preeclampsia are present: pain in the epigastrium (upper abdomen), swelling of the face, sudden weight gain, headache, visual disturbances, decreased platelets in the blood, increased serum transaminase levels
  • It is necessary to differentiate between oroteinuria (increased protein in the urine) and other pathologies
  • Intrauterine growth retardation of the fetus is established

Determination of the sFlt-1/PlGF ratio It is mainly held From the 20th week of pregnancy

Possible interpretation of the results

Development of preeclampsia in the early stage of gestation (20-33 weeks + 6 days)

sFlt-1/PIGFratio Interpretation Management
<38 Exclusion of preeclampsia for a period of 4 weeks In the absence of clinical signs, there is no need to clarify the test
38-85 Increased risk of preeclampsia It is necessary to monitor and repeat the test in 1-2 weeks
> 85 High probability of preeclampsia It requires observation in the hospital and repeated testing in 2-4 days
> 655 Very high risk of complications in the short term Observation in the hospital, acceleration of childbirth

 

The development of preeclampsia in the late stage of gestation (> 34week later)

sFlt-1/PIGFratio Interpretation Management
<38 Exclusion of preeclampsia for a period of 4 weeks In the absence of clinical signs, there is no need to clarify the test
38-110 Increased risk of preeclampsia It is necessary to monitor and repeat the test in 1-2 weeks
> 110 High probability of preeclampsia It requires observation in the hospital and repeated testing in 2-4 days
> 201 Very high risk of complications in the short term Observation in the hospital, acceleration of childbirth

 

 

Reference values

Risk factors for preeclampsia

  • Preeclampsia in previous pregnancy
  • Multiple pregnancy
  • Concomitant diseases: hypertension, chronic kidney disease, type I diabetes, antiphospholipid syndrome, systemic lupus erythematosus.
  • Family history of preeclampsia (mother, sister)
  • Obesity
  • Age above 40
  • thrombophilia
  • In-vitro fertilization

 

 

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This medical information is not intended to be a universal treatment guide for all patients. The treatment process, including the type, volume, and frequency of diagnostic tests and therapeutic procedures, is determined by the physician individually — based on an assessment of the patient's condition and relevant medical indications. The decision is made in consultation with the patient. Before purchasing a test, please read the instructions for its preparation.
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