Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico.

Autor: Hernández-Mora FJ; Department of Human Reproduction, Growth and Child Development, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico.; Department of Obstetrics, Hospital Civil de Guadalajara 'Fray Antonio Alcalde', Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico., Cerda-Guerrero CK; Department of Obstetrics, Hospital Civil de Guadalajara 'Fray Antonio Alcalde', Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico., García-Benavides L; Department of Biomedical Sciences, Centro Universitario de Tonalá, Universidad de Guadalajara, 45425 Tonalá, Jalisco, Mexico., Cervantes-Pérez E; Department of Internal Medicine, Hospital Civil de Guadalajara 'Fray Antonio Alcalde', Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico.; Department of Clinics, Centro Universitario de Tlajomulco, Universidad de Guadalajara, 45641 Tlajomulco de Zúñiga, Jalisco, Mexico., Ramírez-Ochoa S; Department of Internal Medicine, Hospital Civil de Guadalajara 'Fray Antonio Alcalde', Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico., Vázquez-Beltrán JC; School of Medicine, Instituto Politécnico Nacional, 11340 Ciudad de México, Ciudad de Mexico, Mexico., Cervantes-Guevara G; Department of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, 46200 Colotlán, Jalisco, Mexico., Ledezma-Hurtado E; Department of Obstetrics, Hospital Civil de Guadalajara 'Fray Antonio Alcalde', Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44200 Guadalajara, Jalisco, Mexico., Nápoles-Echauri A; Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico., González-Ojeda A; Biomedical Research Unit 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, 44329 Guadalajara, Jalisco, Mexico., Fuentes-Orozco C; Biomedical Research Unit 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, 44329 Guadalajara, Jalisco, Mexico., Hernández-Rivas MI; Odontology Department for the Preservation of Health, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico., Chávez-Tostado M; Department of Human Reproduction, Growth and Child Development, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico., Cervantes-Cardona GA; Department of Philosophical, Methodological and Instrumental Disciplines, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 44340 Guadalajara, Jalisco, Mexico.
Jazyk: angličtina
Zdroj: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2023 Jul 21; Vol. 59 (7). Date of Electronic Publication: 2023 Jul 21.
DOI: 10.3390/medicina59071343
Abstrakt: Background and Objectives : Central aortic pressure (CAP) can be measured through noninvasive methods, and CAP wave analysis can provide information about arterial stiffness. The objective of this study was to compare CAP in women with preeclampsia and normotensive postpartum women from an urban region in western Mexico. Materials and Methods: We recruited 78 women in immediate puerperium, including 39 with preeclampsia and 39 with normotension, who received delivery care in our hospital between September 2017 and January 2018. Pulse wave analysis was used to assess central hemodynamics as well as arterial stiffness with an oscillometric device. For this purpose, the measurement of the wave of the left radial artery was obtained with a wrist applanation tonometer and the ascending aortic pressure wave was generated using the accompanying software (V 1.1, Omron, Japan). Additionally, the systolic CAP, diastolic pressure, pulse pressure, heart rate, and rise rate adjusted for a heart rate of 75 bpm were determined. The radial pulse wave was calibrated using the diastolic and mean arterial pressures obtained from the left brachial artery. For all the statistical analyses, we considered p < 0.05 to be significant. Results: The results were as follows: a systolic CAP of 125.40 (SD 15.46) vs. 112.10 (SD 10.12) with p < 0.0001 for women with and without preeclampsia, respectively. Systolic CAP was significantly elevated in women with preeclampsia and could indicate an elevated risk of cardiovascular disease. Conclusion: CAP is an important parameter that can be measured in this group of patients and is significantly elevated in women with postpartum preeclampsia, even when the brachial blood pressure is normal.
Databáze: MEDLINE
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