PS 08-58 PREGNANCY AND DETECTION OF THE LATENT HYPERTENSION: EVALUATION OF AORTIC PRESSURE IN PREVENTIVE EXAMINATIONS OF PREGNANT WOMEN. (September 2016)

• Record Type: Journal Article
• Authors: Evsevyeva, Maria; Sergeeva, Oksana; Pavlov, Kirill; Prokhorenko-Kolomoytseva, Irina
• Is Part Of: Journal of hypertension. Volume 34:(2016) Supplement 1
• Publication Date: 2016-09
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000500752.33862.21
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: The aim of the study is to assess the occurrence of various types of arterial hypertension (AH) at pregnancy taking into account indicators of aortic pressure and features of central pulse wave. Design and Method: Under supervision there were 253 pregnant women (PW) was enrolled. Age was 28.1 ± 2.4 years. As the profile of main risk factors (RF), cardio-vascular activity was examined by means of diagnostic BPLab complex (Petr Telegin, Russia) with software, Vasotens Office. Aortic systolic BP, aortic diastolic BP, aortic augmentation index (AIxao), pulse pressure (PP) amplification were measured. Comparison of indicators central and peripheral pressure to differentiate various types of AH such as system, hidden and false. Data are processed by means of the software package of "Statistica 8.0". Results: The prevalence of system AH was 2.75%; hidden AH, 7.5%; false AH, 2.75%. In groups with raised clinical BP (system and false AH), aortic PP were higher in comparison with normotonic women and ones with hidden AH (36 and 38 mmHg vs. 29 and 27 mmHg respectively). Women with hidden AH were characterized by the greater value of AIxao in comparison with other groups. Frequency of development of preeclampsia (PE) in normotonic women was 0.9%; in group of system AH, 14.3%; in group of hidden AH, 10.5%. Among patients with false AH no case of PE was revealed. Conclusions: Our data showed more frequent occurrence of the hidden AH in comparison with false and system AH. The association of high values of rigidity of aortic wall and with rather frequent development of PE is practically important and it indicates expediency of more widespread introduction of assessment of central pressure in daily work of therapist, participated in carrying out preventive supervision of PW.