Document Detail


Albumin excretory rate in normal and hypertensive pregnancy.
MedLine Citation:
PMID:  8156734     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
1. The purpose of this study was to determine whether the 24 h urinary albumin excretory rate was increased in the third trimester of normal pregnancy or in pregnant women with hypertension who had 24 h urinary total protein excretion within the normal range. 2. Twenty-four hour urinary creatinine and albumin excretions were determined prospectively in 26 non-pregnant and 115 pregnant women in their third trimester (40 in normal pregnancy, 38 with mild pre-eclampsia, 20 with severe pre-eclampsia, 17 with essential hypertension) in whom urinary total protein excretion was normal. Both the urinary albumin excretion rate and the urinary albumin/creatinine ratio were compared among the groups. The clearance of albumin relative to that of creatinine was also calculated in the hypertensive women and in 14 of the non-pregnant women and nine of the normal pregnant women. 3. The twenty-four hour urinary albumin excretion rate was similar in non-pregnant [8(5-10) mg/day; median (interquartile range)] and normal pregnant [7(6-10) mg/day] women. Women with essential hypertension [6(4-16) mg/day] and mild pre-eclampsia [7(4-10) mg/day] had a urinary albumin excretion rate similar to that of normal pregnant women. Women with severe pre-eclampsia had an urinary albumin excretion rate increased [13(7-32) mg/day] compared with other groups (P < 0.05). The clearance of albumin relative to that of creatinine was elevated significantly only in women with severe pre-eclampsia compared with normal pregnant women (0.00054 versus 0.00012; P < 0.05). Blood pressures were similar among all hypertensive groups.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
M A Brown; M X Wang; M L Buddle; M A Carlton; G M Cario; V C Zammit; J A Whitworth
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical science (London, England : 1979)     Volume:  86     ISSN:  0143-5221     ISO Abbreviation:  Clin. Sci.     Publication Date:  1994 Mar 
Date Detail:
Created Date:  1994-05-19     Completed Date:  1994-05-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7905731     Medline TA:  Clin Sci (Lond)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  251-5     Citation Subset:  IM    
Affiliation:
Department of Renal Medicine, St George Hospital, Sydney, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Albuminuria / complications*
Creatinine / urine
Female
Humans
Hypertension / urine*
Pre-Eclampsia / urine
Pregnancy
Pregnancy Complications, Cardiovascular / urine*
Pregnancy Trimester, Third
Prospective Studies
Chemical
Reg. No./Substance:
60-27-5/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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