Sleep disordered breathing controlled by CPAP and sFlt-1 in a pregnant patient with chronic hypertension: Case report and literature review
Background There is recent interest exploring the possible impact of sleep disordered breathing on the mechanisms of preeclampsia. A biomarker of preeclampsia, soluble fms-like tyrosine kinase-1, has come to prominence in recent years. The aim of this study was to investigate the relationship betwee...
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| Veröffentlicht in: | Obstetric medicine 2018-03, Vol.11 (1), p.32-34 |
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| creator | Daly, Amy Robertson, Annette Bobek, Gabriele Middleton, Sally Sullivan, Colin Hennessy, Annemarie |
| description | Background
There is recent interest exploring the possible impact of sleep disordered breathing on the mechanisms of preeclampsia. A biomarker of preeclampsia, soluble fms-like tyrosine kinase-1, has come to prominence in recent years. The aim of this study was to investigate the relationship between continuous positive airway pressure treatment, sleep disordered breathing and soluble fms-like tyrosine kinase-1 concentrations during pregnancy.
Methods
A 38-year-old G1P0 presented at 20 + 5 weeks. She had a history of chronic hypertension. Sleep studies revealed she had sleep disordered breathing with an AHI of 7.3/h. She was commenced on continuous positive airway pressure. Soluble fms-like tyrosine kinase-1 concentrations and blood pressure recordings were taken at various points during her pregnancy.
Results
She did not develop preeclampsia or require an escalation in her antihypertensives. Soluble fms-like tyrosine kinase-1 concentrations rose 16% from a low baseline. She remained compliant with her continuous positive airway pressure. She progressed to birth a well, live, term baby.
Conclusion
Continuous positive airway pressure treatment controlled sleep disordered breathing in a high risk pregnant woman with chronic hypertension with no increase in soluble fms-like tyrosine kinase-1 concentrations. |
| doi_str_mv | 10.1177/1753495X17708949 |
| format | Article |
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There is recent interest exploring the possible impact of sleep disordered breathing on the mechanisms of preeclampsia. A biomarker of preeclampsia, soluble fms-like tyrosine kinase-1, has come to prominence in recent years. The aim of this study was to investigate the relationship between continuous positive airway pressure treatment, sleep disordered breathing and soluble fms-like tyrosine kinase-1 concentrations during pregnancy.
Methods
A 38-year-old G1P0 presented at 20 + 5 weeks. She had a history of chronic hypertension. Sleep studies revealed she had sleep disordered breathing with an AHI of 7.3/h. She was commenced on continuous positive airway pressure. Soluble fms-like tyrosine kinase-1 concentrations and blood pressure recordings were taken at various points during her pregnancy.
Results
She did not develop preeclampsia or require an escalation in her antihypertensives. Soluble fms-like tyrosine kinase-1 concentrations rose 16% from a low baseline. She remained compliant with her continuous positive airway pressure. She progressed to birth a well, live, term baby.
Conclusion
Continuous positive airway pressure treatment controlled sleep disordered breathing in a high risk pregnant woman with chronic hypertension with no increase in soluble fms-like tyrosine kinase-1 concentrations.</description><identifier>ISSN: 1753-495X</identifier><identifier>EISSN: 1753-4968</identifier><identifier>DOI: 10.1177/1753495X17708949</identifier><identifier>PMID: 29636812</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Antihypertensives ; Case Reports ; Continuous positive airway pressure ; Hypertension ; Preeclampsia ; Pregnancy ; Pregnancy complications ; Respiratory therapy ; Sleep ; Sleep apnea</subject><ispartof>Obstetric medicine, 2018-03, Vol.11 (1), p.32-34</ispartof><rights>The Author(s) 2017</rights><rights>The Author(s) 2017 2017 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c429t-891c55b1dec0eda026885a99f02ab39a5608c8288b2248d6a7d61c84381c1baf3</citedby><cites>FETCH-LOGICAL-c429t-891c55b1dec0eda026885a99f02ab39a5608c8288b2248d6a7d61c84381c1baf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888837/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888837/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,21800,27905,27906,43602,43603,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29636812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Daly, Amy</creatorcontrib><creatorcontrib>Robertson, Annette</creatorcontrib><creatorcontrib>Bobek, Gabriele</creatorcontrib><creatorcontrib>Middleton, Sally</creatorcontrib><creatorcontrib>Sullivan, Colin</creatorcontrib><creatorcontrib>Hennessy, Annemarie</creatorcontrib><title>Sleep disordered breathing controlled by CPAP and sFlt-1 in a pregnant patient with chronic hypertension: Case report and literature review</title><title>Obstetric medicine</title><addtitle>Obstet Med</addtitle><description>Background
There is recent interest exploring the possible impact of sleep disordered breathing on the mechanisms of preeclampsia. A biomarker of preeclampsia, soluble fms-like tyrosine kinase-1, has come to prominence in recent years. The aim of this study was to investigate the relationship between continuous positive airway pressure treatment, sleep disordered breathing and soluble fms-like tyrosine kinase-1 concentrations during pregnancy.
Methods
A 38-year-old G1P0 presented at 20 + 5 weeks. She had a history of chronic hypertension. Sleep studies revealed she had sleep disordered breathing with an AHI of 7.3/h. She was commenced on continuous positive airway pressure. Soluble fms-like tyrosine kinase-1 concentrations and blood pressure recordings were taken at various points during her pregnancy.
Results
She did not develop preeclampsia or require an escalation in her antihypertensives. Soluble fms-like tyrosine kinase-1 concentrations rose 16% from a low baseline. She remained compliant with her continuous positive airway pressure. She progressed to birth a well, live, term baby.
Conclusion
Continuous positive airway pressure treatment controlled sleep disordered breathing in a high risk pregnant woman with chronic hypertension with no increase in soluble fms-like tyrosine kinase-1 concentrations.</description><subject>Antihypertensives</subject><subject>Case Reports</subject><subject>Continuous positive airway pressure</subject><subject>Hypertension</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Respiratory therapy</subject><subject>Sleep</subject><subject>Sleep apnea</subject><issn>1753-495X</issn><issn>1753-4968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1UV1rFDEUDaLYWn33SQI-j-Zjkkl8EMpiq1BoQYW-DZnk7k7KNBmTbMv-Bv90s926rYL35V7OPffcAweht5R8oLTrPtJO8FaLyzoTpVv9DB1uoabVUj3fz-LyAL3K-YoQKTjjL9EB05JLRdkh-v19Apix8zkmBwkcHhKYMvqwwjaGkuI0bcENXlwcX2ATHM4nU2ko9gEbPCdYBRMKnk3xUPutLyO2Y4rBWzxuZkgFQvYxfMILkwEnmGMq9zqTL5BMWacteuPh9jV6sTRThjcP_Qj9PPnyY_G1OTs__bY4Pmtsy3RplKZWiIE6sAScIUwqJYzWS8LMwLURkiirmFIDY61y0nROUqtarqilg1nyI_R5pzuvh2twtvpOZurn5K9N2vTR-P7vTfBjv4o3vVC1eFcF3j8IpPhrDbn0V3GdQvXcM6Z1KwnhvLLIjmVTzDnBcv-Bkn4bX_9vfPXk3VNn-4M_eVVCsyNks4LHr_8VvANnyaWC</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Daly, Amy</creator><creator>Robertson, Annette</creator><creator>Bobek, Gabriele</creator><creator>Middleton, Sally</creator><creator>Sullivan, Colin</creator><creator>Hennessy, Annemarie</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>Sleep disordered breathing controlled by CPAP and sFlt-1 in a pregnant patient with chronic hypertension: Case report and literature review</title><author>Daly, Amy ; Robertson, Annette ; Bobek, Gabriele ; Middleton, Sally ; Sullivan, Colin ; Hennessy, Annemarie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-891c55b1dec0eda026885a99f02ab39a5608c8288b2248d6a7d61c84381c1baf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Antihypertensives</topic><topic>Case Reports</topic><topic>Continuous positive airway pressure</topic><topic>Hypertension</topic><topic>Preeclampsia</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Respiratory therapy</topic><topic>Sleep</topic><topic>Sleep apnea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Daly, Amy</creatorcontrib><creatorcontrib>Robertson, Annette</creatorcontrib><creatorcontrib>Bobek, Gabriele</creatorcontrib><creatorcontrib>Middleton, Sally</creatorcontrib><creatorcontrib>Sullivan, Colin</creatorcontrib><creatorcontrib>Hennessy, Annemarie</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obstetric medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Daly, Amy</au><au>Robertson, Annette</au><au>Bobek, Gabriele</au><au>Middleton, Sally</au><au>Sullivan, Colin</au><au>Hennessy, Annemarie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep disordered breathing controlled by CPAP and sFlt-1 in a pregnant patient with chronic hypertension: Case report and literature review</atitle><jtitle>Obstetric medicine</jtitle><addtitle>Obstet Med</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>11</volume><issue>1</issue><spage>32</spage><epage>34</epage><pages>32-34</pages><issn>1753-495X</issn><eissn>1753-4968</eissn><abstract>Background
There is recent interest exploring the possible impact of sleep disordered breathing on the mechanisms of preeclampsia. A biomarker of preeclampsia, soluble fms-like tyrosine kinase-1, has come to prominence in recent years. The aim of this study was to investigate the relationship between continuous positive airway pressure treatment, sleep disordered breathing and soluble fms-like tyrosine kinase-1 concentrations during pregnancy.
Methods
A 38-year-old G1P0 presented at 20 + 5 weeks. She had a history of chronic hypertension. Sleep studies revealed she had sleep disordered breathing with an AHI of 7.3/h. She was commenced on continuous positive airway pressure. Soluble fms-like tyrosine kinase-1 concentrations and blood pressure recordings were taken at various points during her pregnancy.
Results
She did not develop preeclampsia or require an escalation in her antihypertensives. Soluble fms-like tyrosine kinase-1 concentrations rose 16% from a low baseline. She remained compliant with her continuous positive airway pressure. She progressed to birth a well, live, term baby.
Conclusion
Continuous positive airway pressure treatment controlled sleep disordered breathing in a high risk pregnant woman with chronic hypertension with no increase in soluble fms-like tyrosine kinase-1 concentrations.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>29636812</pmid><doi>10.1177/1753495X17708949</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Obstetric medicine, 2018-03, Vol.11 (1), p.32-34 |
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| language | eng |
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| source | SAGE Complete A-Z List; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Antihypertensives Case Reports Continuous positive airway pressure Hypertension Preeclampsia Pregnancy Pregnancy complications Respiratory therapy Sleep Sleep apnea |
| title | Sleep disordered breathing controlled by CPAP and sFlt-1 in a pregnant patient with chronic hypertension: Case report and literature review |
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