24-Hour Ambulatory Blood Pressure Monitoring in Pregnant Women with Chronic Hypertensionmdash;Can It Predict Superimposed Preeclampsia?

Engfeldt, Peter; Nisell, Henry; Danielsson, Birgitta; Lunell, Nils‐Olov; Aberg, K; Åberg, H

doi:10.3109/10641959609015694

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…Vários estudos 13,15,17,22 confirmam os resultados que obtivemos quanto à ausência de diferença significativa entre as pressões arteriais no primeiro e no segundo trimestres de gestação. Cugini et al 11 , no entanto, constataram tendência de aumento dos níveis pressóricos no segundo e terceiro trimestres, ao passo que Churchill e Beevers 16 , em estudo não longitudinal, observaram aumento de PAS a partir da 18 a semana de gestação até o termo.…”

Section: Discussionunclassified

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Monitorização ambulatorial da pressão arterial em gestantes normotensas: estudo longitudinal da pressão arterial e da freqüência cardíaca materna nos três trimestres da gestação

Machado¹,

Melo²,

Neto³

2003

Rev. Bras. Ginecol. Obstet.

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Section: Discussionunclassified

“…Durante a gravidez tanto a pressão arterial quanto a freqüência cardíaca apresentam ritmo circadiano com significativa queda dos níveis pressóricos e da freqüência cardíaca durante a noite, e tendência a aumentar com o evoluir da gravidez [7][8][9][10][11][12][13][14][15][16][17][18] .…”

Section: Introductionunclassified

Monitorização ambulatorial da pressão arterial em gestantes normotensas: estudo longitudinal da pressão arterial e da freqüência cardíaca materna nos três trimestres da gestação

Machado¹,

Melo²,

Neto³

2003

Rev. Bras. Ginecol. Obstet.

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“…[96][97][98][99][100][101][102][103] Some of these studies describe blunted nocturnal dip in blood pressure in women and increased risk for preeclampsia. [97][98][99][100][101]103 One large outcomes study has been published. 96 In this study, 254 women without hypertension and not taking antihypertensive drugs were classified as having high (148 women) or normal (106 women) office blood pressure.…”

Section: Pregnancymentioning

confidence: 99%

Noninvasive 24‐Hour Ambulatory Blood Pressure Monitoring: Overview of Technology and Clinical Applications

Ernst

Bergus

2002

Pharmacotherapy

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During the last 25 years, 24-hour noninvasive ambulatory blood pressure monitoring (ABPM) has evolved from a research tool of limited clinical use into an important tool for stratifying cardiovascular risk and guiding therapeutic decisions. Until recently, clinical use of ABPM focused on identifying patients with white-coat hypertension, but accumulated evidence now points to greater prognostic significance of ABPM in determining risk for target-organ damage compared with that of office blood pressure measurements. Clinicians involved in the care of patients with hypertension should familiarize themselves with the role of this technology and how to use it in an appropriate and cost-effective manner.

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Sleep effects on ambulatory blood pressure measurements in pregnant women

Taylor

Gamble

McCowan

et al. 2001

American Journal of Hypertension

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The aim of this study was to investigate the effect of the definition of daytime and nighttime on ambulatory blood pressure (ABP) in pregnancy. To determine the prevalence of a <10% decrease in mean arterial pressure with sleep (nondipper) in pregnancy and the consistency of nondipper status throughout pregnancy. In a prospective, longitudinal study, 102 pregnant woman underwent 24-h ABP monitoring and recorded sleep patterns at < or = 14, 19 to 22, 27 to 30, 35 to 37 weeks' gestation and 5 to 9 weeks' postpartum. Nighttime was defined by arbitrary hours or actual periods of sleep. Ambulatory blood pressure measurements using the different definitions of nighttime were compared in the total cohort and individual women. Nondipper status of each woman was determined throughout pregnancy and postpartum. At 35 to 37 weeks' gestation, 19% of women napped during the day and 20% were awake during the night. Throughout pregnancy, mean day and night systolic and diastolic ABP measurements were similar whether daytime and nighttime were defined by arbitrary hours or by sleep periods. In individuals, the use of arbitrary hours (day 07:00 to 21:59, night 22:00 to 06:59) compared to sleep periods to define day and night resulted in differences in daytime systolic (SBP) and diastolic blood pressure (DBP) of up to 4 and 5 mm Hg, respectively. Similarly there were individual differences in nighttime SBP up to 10 mm Hg and DBP up to 11 mm Hg. A third of women were nondippers at least once during pregnancy, but only two women were consistent nondippers. The different definitions of day and night did not change group ABP measurements, but resulted in significant variation in ABP measurements in individual pregnant women. Nondippers were common and nondipper status frequently changed during pregnancy.

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24-Hour Ambulatory Blood Pressure Monitoring in Pregnant Women with Chronic Hypertensionmdash;Can It Predict Superimposed Preeclampsia?

Cited by 5 publications

References 7 publications

Monitorização ambulatorial da pressão arterial em gestantes normotensas: estudo longitudinal da pressão arterial e da freqüência cardíaca materna nos três trimestres da gestação

Monitorização ambulatorial da pressão arterial em gestantes normotensas: estudo longitudinal da pressão arterial e da freqüência cardíaca materna nos três trimestres da gestação

Noninvasive 24‐Hour Ambulatory Blood Pressure Monitoring: Overview of Technology and Clinical Applications

Sleep effects on ambulatory blood pressure measurements in pregnant women

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