Document Detail


The effect of pregnancy on the compliance of large arteries and veins in healthy parous control subjects and women with a history of preeclampsia.
MedLine Citation:
PMID:  11084578     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Early pregnancy is characterized by a fall in total peripheral vascular resistance. In this study we tested the hypothesis that this phenomenon is accompanied by rising compliances of the large arteries and veins. STUDY DESIGN: In 42 women with a history of preeclampsia and 10 healthy parous control subjects we measured the following variables in the midfollicular phase and the midluteal phase during the menstrual cycle and again at 5 and at 7 weeks of amenorrhea: cardiac output, mean arterial pressure, carotid and femoral artery compliances, and venous compliance. The total peripheral vascular resistance was determined as the ratio of mean arterial pressure and cardiac output. After screening for thrombophilia and hypertension, women with a history of preeclampsia were divided into subgroups with hypertension, thrombophilic disorders, and no underlying abnormalities. RESULTS: In parallel with the fall in total peripheral vascular resistance during early pregnancy, femoral artery compliance and venous compliance increased in the control group. Except for venous compliance, these changes were also observed in the women with thrombophilia and a history of preeclampsia. In the subgroups of the women with a history of preeclampsia with hypertension and with no underlying disorder both arterial and venous compliance failed to increase despite a drop in total peripheral vascular resistance. CONCLUSION: These data support the concept that during normal pregnancy the fall in total peripheral vascular resistance is paralleled by improved macrovascular compliance. The latter adaptive change did not occur in women with a history of preeclampsia with hypertension or without an underlying disorder.
Authors:
M E Spaanderman; C Willekes; A P Hoeks; T H Ekhart; L L Peeters
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  183     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-04     Completed Date:  2000-12-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1278-86     Citation Subset:  AIM; IM    
Affiliation:
Departments of Obstetrics and Gynecology, University Hospital Maastricht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Arteries / physiopathology*
Compliance
Female
Femoral Artery / physiology
Humans
Hypertension / physiopathology
Medical Records
Microcirculation / physiology
Parity*
Pre-Eclampsia / physiopathology*
Pregnancy / physiology*
Pregnancy Complications, Cardiovascular / physiopathology
Reference Values
Thrombophilia / physiopathology
Vascular Resistance / physiology
Vasomotor System / physiopathology*
Veins / physiopathology*

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


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