Serum Uric Acid Level as a Predictive Biomarker of Gestational Hypertension Severity; A Prospective Observational Case-Control Study
| Autor: | Dina Sabry Abdelfattah, Ahmed Taha, Hader I. Sakr, Akef A Khowailed, Reham S Al-Fakharany |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Gestational hypertension
Adult medicine.medical_specialty Adolescent Hyperuricemia 030204 cardiovascular system & hematology Gastroenterology 03 medical and health sciences Young Adult 0302 clinical medicine Predictive Value of Tests Internal medicine medicine Humans Prospective Studies Adverse effect Pharmacology Pregnancy 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Case-control study General Medicine Hypertension Pregnancy-Induced medicine.disease Uric Acid Blood pressure Case-Control Studies Gestation Female Lipid profile business Biomarkers |
| Zdroj: | Reviews on recent clinical trials. 15(3) |
| ISSN: | 1876-1038 |
| Popis: | Background: Pre-eclampsia poses a significant potential risk of hypertensive disorders during pregnancy, a leading cause of maternal deaths. Hyperuricemia is associated with adverse effects on endothelial function, normal cellular metabolism, and platelet aggregation and adhesion. This study was designed to compare serum urate levels in normotensive pregnant women to those with pregnancy-induced hypertension, and to evaluate its value as a potential predictive marker of hypertension severity during pregnancy. Methods: A prospective, observational, case-control study conducted on 100 pregnant women in their third trimester. Pregnant women were classified into two groups (n=50) according to arterial blood pressure measurements: group I had normal blood pressure, and group II had a blood pressure of ≥ 140/90, which was further subdivided according to hypertension severity into IIa (pregnancy- induced hypertension, IIb (mild pre-eclampsia), and IIc (severe pre-eclampsia). Blood samples were obtained on admission. Serum urate, high sensitive C-reactive protein, and interleukin-1β levels, and lipid profile were compared among the groups. Results: A significant increase in the mean values of serum urate, C-reactive protein, and interleukin- 1β levels was detected in gestational hypertensives. In addition, there was a positive correlation between serum urate levels and C-reactive protein and interleukin-1β, as well as between serum urate levels and hypertension severity. Conclusion: Hyperuricemia and increased C-reactive protein and interleukin-1β serum levels correlate with the severity of pregnancy-induced hypertension, and these biomarkers may play a role in the pathogenesis of pre-eclampsia. Serum urate measurement is sensitive, reliable markers that correlate well with the severity of hypertension in pregnant females with pre-eclampsia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|