Comparison of vagal baroreflex function in nonpregnant women and in women with normal pregnancy, preeclampsia, or gestational hypertension
Objective: Our aim was to compare baroreflex function among nonpregnant women and among women with normal pregnancy, preeclampsia, or gestational hypertension. Study Design: Baroreflex function was tested in 20 women with preeclampsia, in 20 age- and gestational age–matched normotensive gravid women...
Gespeichert in:
Veröffentlicht in: | American journal of obstetrics and gynecology 2001-05, Vol.184 (6), p.1189-1195 |
---|---|
Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1195 |
---|---|
container_issue | 6 |
container_start_page | 1189 |
container_title | American journal of obstetrics and gynecology |
container_volume | 184 |
creator | Silver, Helayne M. Tahvanainen, Kari U.O. Kuusela, Tom A. Eckberg, Dwain L. |
description | Objective: Our aim was to compare baroreflex function among nonpregnant women and among women with normal pregnancy, preeclampsia, or gestational hypertension. Study Design: Baroreflex function was tested in 20 women with preeclampsia, in 20 age- and gestational age–matched normotensive gravid women, in 20 age-matched nonpregnant women, and in 20 nonmatched women with gestational hypertension. The baroreflex was measured by several modalities. Results: Vagal baroreflex gain measured by cross-spectral analysis of parallel spontaneous heart rate and blood pressure changes is significantly decreased in normal pregnancy (15.8 ± 7.2 vs 10.8 ± 4.1 ms/mm Hg; P = 0.001), in comparison with vagal baroreflex gain in nonpregnant women. Baroreflex gain is further reduced in preeclamptic pregnancy (10.8 ± 4.1 vs 7.2 ± 2.6 ms/mm Hg; P = 0.003) and in gestational hypertension (10.8 ± 4.1 vs 6.5 ± 2.7 ms/mm Hg; P = 0.001), compared with that in normal pregnancy. Similar differences were seen with other baroreflex testing modalities. Conclusions: The normal reduction of baroreflex gain in pregnancy is further depressed in subjects with hypertensive disorders of pregnancy. (Am J Obstet Gynecol 2001;184:1189-95.) |
doi_str_mv | 10.1067/mob.2001.112871 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70817341</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S000293780139292X</els_id><sourcerecordid>70817341</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-ec6731b51eae7f3b51f449e4548c319f43046f866a9120c916164bc4a7e2244a3</originalsourceid><addsrcrecordid>eNp1kMFu1DAQhi1ERbeFMzfkA-qp2Xps106OaEULUiUucLYc72RrlNjBzrbsK_SpcZRIcOHk-TWff40-Qt4D2wJT-maI7ZYzBlsAXmt4RTbAGl2pWtWvyYYxxqtG6PqcXOT8c4684W_IOYCQDdR6Q152cRht8jkGGjv6ZA-2p61NMWHX42_aHYObfFn6QEMMY8JDsGGiz3HAQG3Yz4slPPvpsTBpKA0r507X84iut8OYvb2mMdED5snOnYV7PI2YJgy5xLfkrLN9xnfre0l-3H3-vvtSPXy7_7r79FA5oflUoVNaQHsLaFF3ogydlA3KW1k7AU0nBZOqq5WyDXDmGlCgZOuk1ci5lFZckquld0zx17EcYwafHfa9DRiP2WhWgxYSCnizgC7FnIsQMyY_2HQywMys3xT9ZtZvFv3lx4e1-tgOuP_Lr74L8HEFbHa271Jx5PM_vUpxIQvWLBgWD08ek8nOY3C49wndZPbR__eGP0MKows</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70817341</pqid></control><display><type>article</type><title>Comparison of vagal baroreflex function in nonpregnant women and in women with normal pregnancy, preeclampsia, or gestational hypertension</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Silver, Helayne M. ; Tahvanainen, Kari U.O. ; Kuusela, Tom A. ; Eckberg, Dwain L.</creator><creatorcontrib>Silver, Helayne M. ; Tahvanainen, Kari U.O. ; Kuusela, Tom A. ; Eckberg, Dwain L.</creatorcontrib><description>Objective: Our aim was to compare baroreflex function among nonpregnant women and among women with normal pregnancy, preeclampsia, or gestational hypertension. Study Design: Baroreflex function was tested in 20 women with preeclampsia, in 20 age- and gestational age–matched normotensive gravid women, in 20 age-matched nonpregnant women, and in 20 nonmatched women with gestational hypertension. The baroreflex was measured by several modalities. Results: Vagal baroreflex gain measured by cross-spectral analysis of parallel spontaneous heart rate and blood pressure changes is significantly decreased in normal pregnancy (15.8 ± 7.2 vs 10.8 ± 4.1 ms/mm Hg; P = 0.001), in comparison with vagal baroreflex gain in nonpregnant women. Baroreflex gain is further reduced in preeclamptic pregnancy (10.8 ± 4.1 vs 7.2 ± 2.6 ms/mm Hg; P = 0.003) and in gestational hypertension (10.8 ± 4.1 vs 6.5 ± 2.7 ms/mm Hg; P = 0.001), compared with that in normal pregnancy. Similar differences were seen with other baroreflex testing modalities. Conclusions: The normal reduction of baroreflex gain in pregnancy is further depressed in subjects with hypertensive disorders of pregnancy. (Am J Obstet Gynecol 2001;184:1189-95.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1067/mob.2001.112871</identifier><identifier>PMID: 11349187</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Adult ; Baroreflex ; Baroreflex - physiology ; Biological and medical sciences ; Blood Pressure ; Diseases of mother, fetus and pregnancy ; Female ; gestational hypertension ; Gynecology. Andrology. Obstetrics ; Heart Rate ; Humans ; Hypertension - physiopathology ; Medical sciences ; Pre-Eclampsia - physiopathology ; preeclampsia ; Pregnancy - physiology ; Pregnancy Complications, Cardiovascular - physiopathology ; Pregnancy. Fetus. Placenta ; Reference Values ; Severity of Illness Index ; Space life sciences ; Vagus Nerve - physiology ; Vagus Nerve - physiopathology ; Valsalva maneuver</subject><ispartof>American journal of obstetrics and gynecology, 2001-05, Vol.184 (6), p.1189-1195</ispartof><rights>2001 Mosby, Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ec6731b51eae7f3b51f449e4548c319f43046f866a9120c916164bc4a7e2244a3</citedby><cites>FETCH-LOGICAL-c372t-ec6731b51eae7f3b51f449e4548c319f43046f866a9120c916164bc4a7e2244a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S000293780139292X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1066234$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11349187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silver, Helayne M.</creatorcontrib><creatorcontrib>Tahvanainen, Kari U.O.</creatorcontrib><creatorcontrib>Kuusela, Tom A.</creatorcontrib><creatorcontrib>Eckberg, Dwain L.</creatorcontrib><title>Comparison of vagal baroreflex function in nonpregnant women and in women with normal pregnancy, preeclampsia, or gestational hypertension</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective: Our aim was to compare baroreflex function among nonpregnant women and among women with normal pregnancy, preeclampsia, or gestational hypertension. Study Design: Baroreflex function was tested in 20 women with preeclampsia, in 20 age- and gestational age–matched normotensive gravid women, in 20 age-matched nonpregnant women, and in 20 nonmatched women with gestational hypertension. The baroreflex was measured by several modalities. Results: Vagal baroreflex gain measured by cross-spectral analysis of parallel spontaneous heart rate and blood pressure changes is significantly decreased in normal pregnancy (15.8 ± 7.2 vs 10.8 ± 4.1 ms/mm Hg; P = 0.001), in comparison with vagal baroreflex gain in nonpregnant women. Baroreflex gain is further reduced in preeclamptic pregnancy (10.8 ± 4.1 vs 7.2 ± 2.6 ms/mm Hg; P = 0.003) and in gestational hypertension (10.8 ± 4.1 vs 6.5 ± 2.7 ms/mm Hg; P = 0.001), compared with that in normal pregnancy. Similar differences were seen with other baroreflex testing modalities. Conclusions: The normal reduction of baroreflex gain in pregnancy is further depressed in subjects with hypertensive disorders of pregnancy. (Am J Obstet Gynecol 2001;184:1189-95.)</description><subject>Adult</subject><subject>Baroreflex</subject><subject>Baroreflex - physiology</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>gestational hypertension</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Hypertension - physiopathology</subject><subject>Medical sciences</subject><subject>Pre-Eclampsia - physiopathology</subject><subject>preeclampsia</subject><subject>Pregnancy - physiology</subject><subject>Pregnancy Complications, Cardiovascular - physiopathology</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Reference Values</subject><subject>Severity of Illness Index</subject><subject>Space life sciences</subject><subject>Vagus Nerve - physiology</subject><subject>Vagus Nerve - physiopathology</subject><subject>Valsalva maneuver</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFu1DAQhi1ERbeFMzfkA-qp2Xps106OaEULUiUucLYc72RrlNjBzrbsK_SpcZRIcOHk-TWff40-Qt4D2wJT-maI7ZYzBlsAXmt4RTbAGl2pWtWvyYYxxqtG6PqcXOT8c4684W_IOYCQDdR6Q152cRht8jkGGjv6ZA-2p61NMWHX42_aHYObfFn6QEMMY8JDsGGiz3HAQG3Yz4slPPvpsTBpKA0r507X84iut8OYvb2mMdED5snOnYV7PI2YJgy5xLfkrLN9xnfre0l-3H3-vvtSPXy7_7r79FA5oflUoVNaQHsLaFF3ogydlA3KW1k7AU0nBZOqq5WyDXDmGlCgZOuk1ci5lFZckquld0zx17EcYwafHfa9DRiP2WhWgxYSCnizgC7FnIsQMyY_2HQywMys3xT9ZtZvFv3lx4e1-tgOuP_Lr74L8HEFbHa271Jx5PM_vUpxIQvWLBgWD08ek8nOY3C49wndZPbR__eGP0MKows</recordid><startdate>20010501</startdate><enddate>20010501</enddate><creator>Silver, Helayne M.</creator><creator>Tahvanainen, Kari U.O.</creator><creator>Kuusela, Tom A.</creator><creator>Eckberg, Dwain L.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010501</creationdate><title>Comparison of vagal baroreflex function in nonpregnant women and in women with normal pregnancy, preeclampsia, or gestational hypertension</title><author>Silver, Helayne M. ; Tahvanainen, Kari U.O. ; Kuusela, Tom A. ; Eckberg, Dwain L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-ec6731b51eae7f3b51f449e4548c319f43046f866a9120c916164bc4a7e2244a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Baroreflex</topic><topic>Baroreflex - physiology</topic><topic>Biological and medical sciences</topic><topic>Blood Pressure</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>gestational hypertension</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Hypertension - physiopathology</topic><topic>Medical sciences</topic><topic>Pre-Eclampsia - physiopathology</topic><topic>preeclampsia</topic><topic>Pregnancy - physiology</topic><topic>Pregnancy Complications, Cardiovascular - physiopathology</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Reference Values</topic><topic>Severity of Illness Index</topic><topic>Space life sciences</topic><topic>Vagus Nerve - physiology</topic><topic>Vagus Nerve - physiopathology</topic><topic>Valsalva maneuver</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silver, Helayne M.</creatorcontrib><creatorcontrib>Tahvanainen, Kari U.O.</creatorcontrib><creatorcontrib>Kuusela, Tom A.</creatorcontrib><creatorcontrib>Eckberg, Dwain L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silver, Helayne M.</au><au>Tahvanainen, Kari U.O.</au><au>Kuusela, Tom A.</au><au>Eckberg, Dwain L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of vagal baroreflex function in nonpregnant women and in women with normal pregnancy, preeclampsia, or gestational hypertension</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2001-05-01</date><risdate>2001</risdate><volume>184</volume><issue>6</issue><spage>1189</spage><epage>1195</epage><pages>1189-1195</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective: Our aim was to compare baroreflex function among nonpregnant women and among women with normal pregnancy, preeclampsia, or gestational hypertension. Study Design: Baroreflex function was tested in 20 women with preeclampsia, in 20 age- and gestational age–matched normotensive gravid women, in 20 age-matched nonpregnant women, and in 20 nonmatched women with gestational hypertension. The baroreflex was measured by several modalities. Results: Vagal baroreflex gain measured by cross-spectral analysis of parallel spontaneous heart rate and blood pressure changes is significantly decreased in normal pregnancy (15.8 ± 7.2 vs 10.8 ± 4.1 ms/mm Hg; P = 0.001), in comparison with vagal baroreflex gain in nonpregnant women. Baroreflex gain is further reduced in preeclamptic pregnancy (10.8 ± 4.1 vs 7.2 ± 2.6 ms/mm Hg; P = 0.003) and in gestational hypertension (10.8 ± 4.1 vs 6.5 ± 2.7 ms/mm Hg; P = 0.001), compared with that in normal pregnancy. Similar differences were seen with other baroreflex testing modalities. Conclusions: The normal reduction of baroreflex gain in pregnancy is further depressed in subjects with hypertensive disorders of pregnancy. (Am J Obstet Gynecol 2001;184:1189-95.)</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>11349187</pmid><doi>10.1067/mob.2001.112871</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0002-9378 |
ispartof | American journal of obstetrics and gynecology, 2001-05, Vol.184 (6), p.1189-1195 |
issn | 0002-9378 1097-6868 |
language | eng |
recordid | cdi_proquest_miscellaneous_70817341 |
source | MEDLINE; Elsevier ScienceDirect Journals |
subjects | Adult Baroreflex Baroreflex - physiology Biological and medical sciences Blood Pressure Diseases of mother, fetus and pregnancy Female gestational hypertension Gynecology. Andrology. Obstetrics Heart Rate Humans Hypertension - physiopathology Medical sciences Pre-Eclampsia - physiopathology preeclampsia Pregnancy - physiology Pregnancy Complications, Cardiovascular - physiopathology Pregnancy. Fetus. Placenta Reference Values Severity of Illness Index Space life sciences Vagus Nerve - physiology Vagus Nerve - physiopathology Valsalva maneuver |
title | Comparison of vagal baroreflex function in nonpregnant women and in women with normal pregnancy, preeclampsia, or gestational hypertension |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T12%3A12%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20vagal%20baroreflex%20function%20in%20nonpregnant%20women%20and%20in%20women%20with%20normal%20pregnancy,%20preeclampsia,%20or%20gestational%20hypertension&rft.jtitle=American%20journal%20of%20obstetrics%20and%20gynecology&rft.au=Silver,%20Helayne%20M.&rft.date=2001-05-01&rft.volume=184&rft.issue=6&rft.spage=1189&rft.epage=1195&rft.pages=1189-1195&rft.issn=0002-9378&rft.eissn=1097-6868&rft.coden=AJOGAH&rft_id=info:doi/10.1067/mob.2001.112871&rft_dat=%3Cproquest_cross%3E70817341%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=70817341&rft_id=info:pmid/11349187&rft_els_id=S000293780139292X&rfr_iscdi=true |