J 2023

Chronobiologic Reference Values for Blood Pressure during Pregnancy

CORNELISSEN, Germaine and Jarmila SIEGELOVÁ

Basic information

Original name

Chronobiologic Reference Values for Blood Pressure during Pregnancy

Authors

CORNELISSEN, Germaine (840 United States of America) and Jarmila SIEGELOVÁ (203 Czech Republic, belonging to the institution)

Edition

World heart journal, United States, Nova Science Publishers, 2023, 1556-4002

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

RIV identification code

RIV/00216224:14110/23:00133596

Organization unit

Faculty of Medicine

Keywords in English

blood pressure; circadian rhythm; gestation; pregnancy; reference values

Tags

Tags

International impact, Reviewed
Změněno: 21/2/2024 08:09, Mgr. Tereza Miškechová

Abstract

V originále

Changes in blood pressure (BP) during the course of pregnancy are revisited based on ambulatory monitoring (ABPM) from 223 pregnant women who contributed 362 records of around-the-clock measurements covering 2 days. Retrospectively, data from women with uncomplicated pregnancies were used to derive time-specified reference values. Circadian rhythm characteristics were also compared between pregnancies complicated by gestational hypertension (G-MH), MESOR-Hypertension (MH) or pre-eclampsia (PE) and uncomplicated (healthy) pregnancies. In clinical health, blood pressure decreases during the second trimester of pregnancy before increasing again to reach pre-pregnancy values at term. The rhythm-adjusted average (MESOR) of systolic BP is elevated in G-MH, MH, and PE, even before these conditions were clinically diagnosed. Chronobiologically-interpreted ABPM in pregnancy can identify complications early, and prompt the timely institution of countermeasures when needed.