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Hemodynamic Allostasis of Pregnant Women against the Background of Preeclampsia

Zotova T. Y., Blagonravov M. L., Lapaev N. N., Denisova A. P.
Bulletin of Experimental Biology and Medicine
Vol.165, Issue4, P. 440-444
Опубликовано: 2018
Тип ресурса: Статья

DOI:10.1007/s10517-018-4189-4

Аннотация:
We analyzed diurnal hemodynamic parameters (HR, systolic BP, and diastolic BP) recorded from two groups of edematous and preeclamptic pregnant women. The unidirectional character of changes in the control over the functional state of cardiovascular system was revealed except for the indices, which mark a pathological process: elevated diurnal BP in preeclampsia and diminished percentage of oscillation power in edematous patients. Uniformity of the regulatory changes in patients with and without arterial hypertension can be viewed as manifestation of allostasis developed by the cardiovascular system during pregnancy. In preeclampsia, the greater allostatic load was reflected by the changes in diurnal, daytime, and nighttime BP and in the circadian index calculated for HR, systolic BP, and diastolic BP. In edematous patients, elevation of allostatic load was indicated by the percentage of ultradian rhythms. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
Ключевые слова:
allostasis; edemas in pregnancy; preeclampsia; pregnancy; ultradian rhythms
adult; allostasis; Article; blood pressure variability; cardiovascular system; circadian rhythm; controlled study; diastolic blood pressure; female; heart rate; human; hypertension; major clinical study; peripheral edema; preeclampsia; pregnancy; pregnant woman; systolic blood pressure; ultradian rhythm; allostasis; blood pressure; circadian rhythm; heart rate; hemodynamics; pathophysiology; physiology; preeclampsia; young adult; Adult; Allostasis; Blood Pressure; Circadian Rhythm; Female; Heart Rate; Hemodynamics; Humans; Hypertension; Pre-Eclampsia; Pregnancy; Young Adult
Язык текста: Английский
ISSN: 1573-8221
Zotova T. Y.
Blagonravov M. L.
Lapaev N. N.
Denisova A. P.
Зотова Т. Y.
Благонравов М. Л.
Лапаев Н. Н.
Денисова А. П.
Hemodynamic Allostasis of Pregnant Women against the Background of Preeclampsia
Текст визуальный непосредственный
Bulletin of Experimental Biology and Medicine
Springer New York Consultants Bureau
Vol.165, Issue4 P. 440-444
2018
Статья
allostasis edemas in pregnancy preeclampsia pregnancy ultradian rhythms
adult allostasis Article blood pressure variability cardiovascular system circadian rhythm controlled study diastolic blood pressure female heart rate human hypertension major clinical study peripheral edema preeclampsia pregnancy pregnant woman systolic blood pressure ultradian rhythm allostasis blood pressure circadian rhythm heart rate hemodynamics pathophysiology physiology preeclampsia young adult Adult Allostasis Blood Pressure Circadian Rhythm Female Heart Rate Hemodynamics Humans Hypertension Pre-Eclampsia Pregnancy Young Adult
We analyzed diurnal hemodynamic parameters (HR, systolic BP, and diastolic BP) recorded from two groups of edematous and preeclamptic pregnant women. The unidirectional character of changes in the control over the functional state of cardiovascular system was revealed except for the indices, which mark a pathological process: elevated diurnal BP in preeclampsia and diminished percentage of oscillation power in edematous patients. Uniformity of the regulatory changes in patients with and without arterial hypertension can be viewed as manifestation of allostasis developed by the cardiovascular system during pregnancy. In preeclampsia, the greater allostatic load was reflected by the changes in diurnal, daytime, and nighttime BP and in the circadian index calculated for HR, systolic BP, and diastolic BP. In edematous patients, elevation of allostatic load was indicated by the percentage of ultradian rhythms. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.