Document Detail


New insights on fetal ductal constriction: role of maternal ingestion of polyphenol-rich foods.
MedLine Citation:
PMID:  20136615     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fetal ductus arteriosus constriction is a clinical disorder that occurs as a result of inhibition of the prostaglandin synthesis pathway, and has long been associated to maternal intake of nonsteroidal antiinflammatory drugs in late pregnancy. As a consequence of an increased right ventricular pressure, with tricuspid regurgitation and heart failure, there is a risk for the development of neonatal pulmonary artery hypertension. This article reviews the basic knowledge of the mechanisms involved in this important disorder. Clinical and experimental evidence that maternal consumption of polyphenol-rich substances, such as herbal teas, orange and grape juice, chocolate, and others, may interfere with fetal ductus arteriosus dynamics are discussed. Preventive measures to avoid fetal ductal constriction in the third trimester of pregnancy are discussed, including the possible need to change maternal dietary orientation, aiming to limit ingestion of foods with high concentrations of polyphenol-rich substances.
Authors:
Paulo Zielinsky; Antonio Luiz Piccoli; Jo?o Luiz Langer Manica; Luiz Henrique Soares Nicoloso
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Expert review of cardiovascular therapy     Volume:  8     ISSN:  1744-8344     ISO Abbreviation:  Expert Rev Cardiovasc Ther     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-08     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101182328     Medline TA:  Expert Rev Cardiovasc Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  291-8     Citation Subset:  IM    
Affiliation:
Fetal Cardiology Unit, Institute of Cardiology, Av. Princesa Isabel 395, Porto Alegre 90620-001, Brazil. zielinsky@cardiol.br
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MeSH Terms
Descriptor/Qualifier:
Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
Antioxidants / adverse effects
Constriction, Pathologic / chemically induced,  pathology,  ultrasonography
Diet / adverse effects*
Ductus Arteriosus / drug effects*,  embryology,  pathology
Echocardiography
Female
Fetal Diseases / chemically induced*,  pathology,  prevention & control,  ultrasonography
Flavonoids / adverse effects*
Food Analysis
Humans
Phenols / adverse effects*
Pregnancy
Pregnancy Trimester, Third
Prenatal Nutritional Physiological Phenomena*
Ultrasonography, Prenatal
Ventricular Dysfunction, Right / etiology,  pathology,  ultrasonography
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents, Non-Steroidal; 0/Antioxidants; 0/Flavonoids; 0/Phenols; 0/polyphenols

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