Otto Loewi Forschungszentrum

Our research group investigates the mechanisms underlying hemodynamic and vascular regulation in response to physiological and pathological stressors, with a specific emphasis on sex-specific differences in cardiovascular risk and the adaptive cardiovascular changes associated with pregnancy.

Research focus: Circulation and vascular research

PI: Federica Piani 

Focus: The main research area of our group is integrative and translational human hemodynamics, with an emphasis on deep cardiovascular phenotyping to characterize mechanisms of regulation, adaptation, and early dysfunction. We study how cardiac, vascular, autonomic, and metabolic systems interact to maintain hemodynamic stability and how subtle alterations in these networks contribute to cardiometabolic disease.

Our work integrates advanced hemodynamic testing, continuous monitoring, and multimodal vascular imaging to assess systemic and microvascular regulation in vivo. Through controlled physiological challenges—such as exercise, postural, and environmental stimuli—we investigate dynamic cardiovascular responses and identify individual hemodynamic profiles that reveal patterns of subclinical dysfunction and impaired vascular control. These physiological investigations are complemented by molecular and proteomic analyses targeting endothelial pathways, including the endothelial glycocalyx, to link systemic regulation with cellular mechanisms of vascular injury and repair.

A major translational topic of the group is female cardiovascular adaptation, with pregnancy as a unique model to study the limits of cardiovascular regulation under metabolic and hemodynamic load. By combining functional and molecular approaches, we aim to refine early detection of endothelial and hemodynamic dysfunction and improve mechanistic understanding of sex-specific vulnerability across the cardiometabolic spectrum.

Projects

Cardiovascular health and maternal adaptation in cardiometabolic complications of pregnancy

This project explores vascular regulation and endothelial pathways as integrated expressions of maternal cardiovascular adaptation. By combining detailed hemodynamic profiling with endothelial functional and molecular analyses, we aim to uncover mechanisms of vascular maladaptation underlying hypertensive and metabolic disorders of pregnancy and their link to long-term cardiovascular risk in mothers and their offspring. 

Sex-specific cardiovascular regulation and early vascular dysfunction

This project aims to systematically dissect sex-related differences in cardiovascular regulation across health and cardiometabolic disease. We integrate advanced hemodynamic and autonomic phenotyping with in vivo imaging techniques to capture how biological sex influences vascular control, adaptation, and early dysfunction. Beyond descriptive comparisons, we seek to build a coherent physiological framework explaining how sex-dependent regulatory patterns emerge and translate into different risk trajectories. 

Division of Physiology & Pathophysiology

Ass.-Prof.
Federica Piani MD PhD
T: +43 316 385 73872