Out-patient diagnostics of psycho-autonomic status in pregnant women with various stages of blood pressure increase

Autor: I. E. Mishina, T. S. Polyatykina, S. V. Andreeva, O. V. Bezrukova
Jazyk: ruština
Rok vydání: 2005
Předmět:
Zdroj: Кардиоваскулярная терапия и профилактика, Vol 4, Iss 3, ч.I, Pp 77-81 (2005)
Druh dokumentu: article
ISSN: 1728-8800
2619-0125
Popis: Aim. To investigate autonomic regulation and personality traits in pregnant women with increased blood pressure (BP), for better predicting possible pregnancy complications.Material and methods. Seventy-eight women were examined: 30 women with chronic arterial hypertension (CAH), 16 – with high normal BP (HNBP), and 32 – with normal BP (controls). All participants underwent heart rate variability (HRV) assessment and psychological testing. Pregnancy course was monitored in 69 women; nephropathy was diagnosed in 25 (36.2%), and feto-placental insufficiency (FPI) – in 18 (26%).Results. HNBP patients had significantly more autonomous dysfunction complaints, significantly increased SMOL test (mini-MMPI) points, for scales 1, 3, 6, 7, comparing to the other two groups. CAH patients demonstrated disturbed general functional status and non-adequate reaction to physical stress. During trimester I, women with nephropathy and FPI had higher impulsivity and anxiety scale points, and lower total spectral HRV frequency – that could be predicting poor pregnancy outcome.Conclusion. Women with HNBP and CAH need post-partum follow-up and rehabilitation.
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