CORNELISSEN, Germaine and Jarmila SIEGELOVÁ. Chronobiologic Reference Values for Blood Pressure during Pregnancy. World heart journal. United States: Nova Science Publishers, 2023, vol. 15, No 3, p. 183-191. ISSN 1556-4002.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
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 rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 21/2/2024 08:09.
Abstract
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.
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