This document provides standardized recommendations and protocols for functional hemodynamic testing in pregnant women to help predict the development of hypertensive disorders.
May support early risk stratification in pregnancy; hypothesis-generating and requires prospective validation before clinical use.
In the general population, functional hemodynamic testing, such as that during submaximal aerobic exercise and isometric handgrip, and the cold pressor test, has long been utilized to unmask abnormalities in cardiovascular function. During pregnancy, functional hemodynamic testing places additional demands on an already stressed maternal cardiovascular system. Dysfunctional responses to such tests in early pregnancy may predict the development of hypertensive disorders that develop later in gestation. For each of the above functional hemodynamic tests, these recommendations provide a description of the test, test protocol and equipment required, and an overview of the current understanding of clinical application during pregnancy.
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Meah et al. (2017) conducted a review in Pregnancy. Functional hemodynamic testing was evaluated. Functional hemodynamic testing in early pregnancy may predict the development of hypertensive disorders, and these recommendations outline protocols and clinical applications.
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