Angiogenic Factor Estimation as a Warning Sign of Preeclampsia-Related Peripartum Morbidity Among Hospitalized Patients

Angiogenic Factor Estimation as a Warning Sign of Preeclampsia-Related Peripartum Morbidity Among Hospitalized Patients
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血管生成因子评估作为住院患者先兆子痫相关围产期发病的预警信号

DOI:
10.1161/hypertensionaha.118.12205
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发表时间:
2019-04-01
期刊:
影响因子:
8.3
通讯作者:
Rana, Sarosh
Rana, Sarosh
中科院分区:
医学1区
文献类型:
--
作者:
Perdigao, Joana Lopes;Chinthala, Sireesha;Rana, Sarosh

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Preeclampsia-related morbidity and mortality is rising predominantly because of delayed identification of patients at risk for preeclampsia with severe features and associated complications. This study explored the association between angiogenic markers (sFlt1 [soluble fms-like tyrosine kinase-1]) and PlGF [placental growth factor]) and preeclampsia-related peripartum complications. Normotensive women or those with hypertensive disorders of pregnancy were enrolled. Blood samples were collected within 96 hours before delivery, and angiogenic markers were measured on an automated platform. Our study included 681 women, 375 of which had hypertensive disorders. Of these, 127 (33.9%) had severe preeclampsia, and 71.4% were black. Compared with normotensive women, women with severe preeclampsia had higher levels of sFlt1 (9372.5 versus 2857.0 pg/mL; P