Change in pulse wave velocity throughout normal pregnancy and its value in predicting pregnancy-induced hypertension: A longitudinal study

Change in pulse wave velocity throughout normal pregnancy and its value in predicting pregnancy-induced hypertension: A longitudinal study
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DOI:
10.1016/j.ajog.2006.01.104
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发表时间:
2006-08-01
影响因子:
9.8
通讯作者:
Kurachi, Hirohisa
Kurachi, Hirohisa
中科院分区:
医学1区
文献类型:
--
作者:
Oyama-Kato, Mizuho;Ohmichi, Masahide;Kurachi, Hirohisa

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目的:我们纵向研究的变化,臂踝扩张性脉搏波速度(PWV)在整个怀孕和正常妊娠和妊娠高血压综合征(PIH)groups.Study设计:183名孕妇被纳入本研究。结果:正常妊娠的PWV在孕中期明显下降,孕晚期至分娩后立即上升,分娩后1个月再次下降。在妊高征患者中,它增加成比例的进展gestation.Conclusion:我们监测PWV的纵向变化,并建立了PWV normogram在怀孕期间。PWV和血压对妊高征的预测价值高于单纯血压,提示PWV对妊高征的预测价值。(c)2006 Mosby,Inc. All rights reserved.
Objective: We longitudinally examined the changes of brachial to ankle distensibility using pulse wave velocity (PWV) throughout pregnancy and its difference between normal pregnancy and pregnancy-induced hypertension (PIH) groups.Study design: One hundred and eighty-three pregnant women were included in this study. The PWV examinations were performed in a longitudinal way during the first, second, and third trimesters of pregnancy, and immediately and 1 month after delivery.Results: In normal pregnancies, the PWV significantly decreased at the second trimester, increased from the third trimester through immediately after delivery, and decreased again at I month after delivery. In PIH patients, it increased in proportion to the progression of gestation.Conclusion: We monitored the longitudinal changes in PWV and constructed a PWV normogram during pregnancy. The predictive value of PWV and blood pressure for PIH was higher than that of blood pressure alone, suggesting the usefulness of measuring PWV to predict PIH. (c) 2006 Mosby, Inc. All rights reserved.