Uterine and fetal hemodynamics and fetal cardiac function after atenolol and pindolol infusion. A randomized study

European Journal of Obstetrics, Gynecology, and Reproductive Biology
J Räsänen, P Jouppila

Abstract

To evaluate the short-term effects of intravenously given atenolol and pindolol on utero- and umbilicoplacental vascular impedance, fetal hemodynamics and cardiac function in patients suffering from pregnancy-induced hypertension. A total of 24 women were randomized to receive atenolol or pindolol infusion. By using pulsed color Doppler techniques, uterine, placental arcuate, umbilical fetal middle cerebral and renal arteries were examined before, at the end and 30 min after the end of infusion. Pulsatility indices (PI) were calculated to assess vascular impedance. Fetal myocardial function was evaluated by using pulsed Doppler and M-mode echocardiography. Peak systolic velocities from the ascending aorta and pulmonary trunk, and also inner diameters and fractional shortenings of both ventricles were measured. Both drugs significantly decreased maternal blood pressure. Immediately after the infusion, maternal heart rate was significantly decreased in both groups; but the decrease was clearer and lasted longer in the atenolol group. Pindolol caused no changes in utero- or umbilicoplacental vascular impedance, while atenolol increased it in the nonplacental uterine artery. After atenolol infusion, PI in the umbilical artery was h...Continue Reading

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Citations

Apr 6, 2002·Reproductive Toxicology·Sonia A Tabacova, Carole A Kimmel
Jun 12, 2004·Cardiology in Review·Shadi A QasqasUri Elkayam
May 5, 2009·International Journal of Cardiology·David W OuyangKatherine E Economy
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Oct 14, 2004·The Journal of Perinatal & Neonatal Nursing·Jerome Yankowitz
Oct 3, 2018·The Cochrane Database of Systematic Reviews·Edgardo AbalosCelina Gialdini
Feb 8, 2014·The Cochrane Database of Systematic Reviews·Edgardo AbalosD Wilhelm Steyn
Feb 19, 2020·Journal of Perinatal Medicine·Line KoldingNiels Uldbjerg
Aug 15, 2003·The Cochrane Database of Systematic Reviews·L A Magee, L Duley
Apr 12, 2021·The Canadian Journal of Cardiology·Jasmine GrewalCandice K Silversides
May 26, 2004·Pediatric Clinics of North America·Enrique M OstreaMaria Asuncion Silvestre

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