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...

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Veröffentlicht in:American journal of obstetrics and gynecology 2001-05, Vol.184 (6), p.1189-1195
Hauptverfasser: Silver, Helayne M., Tahvanainen, Kari U.O., Kuusela, Tom A., Eckberg, Dwain L.
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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
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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. 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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. 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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
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