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October 1, 1996BJOG An International Journal of Obstetrics & Gynaecology

Changes in maternal heart dimensions and plasma atrial natriuretic peptide levels in the early puerperium of normal and pre‐eclamptic pregnancies

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Population

35 women: 11 with uncomplicated pregnancies, 12 with pre-eclampsia, and 12 healthy nonpregnant controls.

Design

Cohort

Follow-up

late pregnancy to days 4-6 postpartum

Authors

APAnneli PoutaUniversity of TurkuJRJuha RäsänenUniversity of HelsinkiJAJuhani AiraksinenElectrophysiology

Discussion

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Overview

May aid postpartum fluid clearance in pre-eclampsia; leaves open causal role and need for prospective confirmation.

Structured PICO

P
Population
35 women: 11 with uncomplicated pregnancies, 12 with pre-eclampsia, and 12 healthy nonpregnant controls.
O
Outcome
Maternal heart dimensions determined by M-mode echocardiography, concentrations of ANP, and daily urine output and sodium excretionsurrogate

Pre-eclampsia is associated with greater left atrial dimensions and higher ANP levels in the early puerperium, which may promote renal elimination of excessive body fluids.

Cite This Study

Pouta et al. (1996) studied this question.

synapsesocial.com/papers/6a7ceced7ef24e040aa5650ahttps://doi.org/10.1111/j.1471-0528.1996.tb09548.x

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Atrial natriuretic peptide concentrations in pre-eclampsia.1987 · 64 citations
  2. 2Atrial Natriuretic Peptide and Plasma Volume in Pregnancy-Induced Hypertension1991 · 23 citations
  3. 3Adaptation of the maternal heart in pregnancy1992 · 610 citations
  4. 4Haemodynamic changes during the puerperium: a Doppler and M‐mode echocardiographic study1987 · 307 citations
  5. 5Atrial Natriuretic Hormone Has Biological Effects in Man at Physiological Plasma Concentrations*1988 · 111 citations