PMID: 9189835Jan 1, 1997Paper

High sensitivity test for the early diagnosis of gestational hypertension and preeclampsia. II. Circadian blood pressure variability in health and hypertensive pregnant women

Journal of Perinatal Medicine
R C HermidaManuel Iglesias

Abstract

The aim of this study was to describe the circadian pattern of non-invasive ambulatorily monitored blood pressure during the trimesters of pregnancy in clinically healthy women as well as in pregnant women who developed gestational hypertension or preeclampsia, and to compare sensitivity and specificity of diagnosis based on the average of the blood pressure series with the values obtained on the basis of casual measurements. We analyzed a total of 745 blood pressure series sampled by ambulatory monitoring for about 48 hours in each of several occasions in 189 women with uncomplicated pregnancies, 71 with gestational hypertension, and 29 with preeclampsia. The circadian pattern of BP variation for each group (complicated vs. uncomplicated pregnancies) and trimester of gestation was established by linear least-squares methods. Highly statistically different circadian patterns are demonstrated for systolic, mean arterial and diastolic blood pressure for both groups of pregnant women in all trimesters (P < 0.001 in all cases). Blood pressure decreases from the first trimester to the second and raises again in the third for healthy pregnant women, but continuously increases during gestation in women who developed gestational hypert...Continue Reading

References

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Citations

Oct 31, 2001·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·O HrazdilováA Vasku
Sep 26, 2012·Chronobiology International·Diana E Ayala, Ramón C Hermida
Apr 8, 2015·Journal of Science and Medicine in Sport·Samantha M McDonaldEdward Archer
Aug 19, 1999·Clinical Obstetrics and Gynecology·E R NorwitzJ T Repke
Feb 4, 2019·Hormone Molecular Biology and Clinical Investigation·Hanis Hidayu KasimRafidah Hanim Mokhtar
Aug 24, 2001·Journal of Hypertension·M A BrownL McHugh
Jan 1, 1997·Journal of Perinatal Medicine·A KurjakD Grbesa
Dec 20, 2011·Journal of Hypertension·Guro GrindheimKarin Toska

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