Document Detail


Clinical differences between early-onset HELLP syndrome and early-onset preeclampsia during pregnancy and at least 6 months postpartum.
MedLine Citation:
PMID:  20022586     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We sought to evaluate whether clinical and laboratory variables differ between former patients who had HELLP syndrome and former patients who had preeclampsia (PE) without HELLP. STUDY DESIGN: We compared early-onset HELLP (n = 75) with early-onset PE (n = 40) with respect to clinical features during the hypertensive complication and to metabolic, hemodynamic, and hemostatic variables determined at least 6 months postpartum. RESULTS: HELLP differed from PE by a borderline higher frequency of eclampsia (13% vs 3%) during the complication, and by a lower prevalence of hypertension (19% vs 33%), proteinuria (2% vs 23%), thrombophilia (6% vs 27%), obesity (9% vs 33%), hypertriglyceridemia (1% vs 15%), hyperglycemia (0% vs 11%), and elevated levels of fasting homocysteine (6% vs 21%) at least 6 months postpartum. CONCLUSION: Women with HELLP had fewer signs of abnormalities consistent with the metabolic syndrome and a 4-fold lower prevalence of thrombophilia as compared with PE women without HELLP.
Authors:
Simone Sep; Jef Verbeek; Gerardus Koek; Luc Smits; Marc Spaanderman; Louis Peeters
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-12-22
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  202     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-08     Completed Date:  2010-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  271.e1-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, Maastricht University Medical Center, Maastricht, The Netherlands. simone.sep@og.unimaas.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Eclampsia / epidemiology
Factor V / genetics
Female
HELLP Syndrome / epidemiology*
Heart Rate
Homocysteine / blood
Humans
Hypercholesterolemia / epidemiology
Hyperglycemia / epidemiology
Hypertension / epidemiology
Hypertriglyceridemia / epidemiology
Mutation
Obesity / epidemiology
Postpartum Period*
Pre-Eclampsia / epidemiology*
Pregnancy
Proteinuria / epidemiology
Prothrombin / genetics
Thrombophilia / epidemiology
Chemical
Reg. No./Substance:
0/factor V Leiden; 454-28-4/Homocysteine; 9001-24-5/Factor V; 9001-26-7/Prothrombin

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


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