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June 26, 2012AnaesthesiaOpen Access

Haemodynamics in women with untreated pre‐eclampsia*

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Key result

Untreated pre-eclampsia was associated with increased cardiac output (4789 vs 4109 ml/min; p=0.002) and systemic vascular resistance (2016 vs 1613 dyne.s.cm-5; p=0.001) compared to healthy pregnancy.

Population

100 women (40 with untreated pre-eclampsia, 40 matched healthy pregnant women, and 20 non-pregnant women)

Design

Cross-sectional

Authors

ADA.T. DennisJCJ.M. CastroCCCaroline Carr

Discussion

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Overview

Highlights combined high-output vasoconstriction in untreated pre-eclampsia; extends pathophysiology understanding but leaves open outcome prediction and management trials.

Study Design

Type

Cross-Sectional (n=100)

Structured PICO

P
Population
100 women (40 with untreated pre-eclampsia, 40 healthy pregnant, 20 non-pregnant) evaluated for haemodynamics using transthoracic echocardiography.
C
Comparator
Healthy pregnant women and healthy non-pregnant women
O
Outcome
Haemodynamic parameters including cardiac output, stroke volume, fractional shortening, fractional area change, systemic vascular resistance, Mitral E/septal e', and left atrial size measured by transthoracic echocardiographysurrogate

Main Result

Absolute Event Rate: 4789% vs 4109%

p-value: p=0.002

Hypertension in untreated pre-eclampsia is driven by increased cardiac output and mild vasoconstriction, accompanied by increased inotropy and reduced diastolic function.

Cite This Study

Dennis et al. (2012) conducted a cross-sectional in Untreated pre-eclampsia (n=100). Untreated pre-eclampsia vs. Healthy pregnant and non-pregnant women was evaluated on Cardiac output (ml/min) (p=0.002). Untreated pre-eclampsia was associated with increased cardiac output (4789 vs 4109 ml/min; p=0.002) and systemic vascular resistance (2016 vs 1613 dyne.s.cm-5; p=0.001) compared to healthy pregnancy.

synapsesocial.com/papers/6a2011e117bd4d7ccf04d22dhttps://doi.org/10.1111/j.1365-2044.2012.07193.x
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Also Consider

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  1. 1Acute pulmonary oedema in pregnant women2012 · 307 citations
  2. 2Maternal Cardiac Output Between 11 and 13 Weeks of Gestation in the Prediction of Preeclampsia and Small for Gestational Age2008 · 111 citations
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  4. 4Early and Late Preeclampsia2008 · 595 citations