Cargando…

Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico

Background and Objectives: Central aortic pressure (CAP) can be measured through noninvasive methods, and CAP wave analysis can provide information about arterial stiffness. The objective of this study was to compare CAP in women with preeclampsia and normotensive postpartum women from an urban regi...

Descripción completa

Detalles Bibliográficos
Autores principales: Hernández-Mora, Francisco J., Cerda-Guerrero, Claudia K., García-Benavides, Leonel, Cervantes-Pérez, Enrique, Ramírez-Ochoa, Sol, Vázquez-Beltrán, Janet Cristina, Cervantes-Guevara, Gabino, Ledezma-Hurtado, Ernesto, Nápoles-Echauri, Adriana, González-Ojeda, Alejandro, Fuentes-Orozco, Clotilde, Hernández-Rivas, María Isabel, Chávez-Tostado, Mariana, Cervantes-Cardona, Guillermo A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383829/
https://www.ncbi.nlm.nih.gov/pubmed/37512152
http://dx.doi.org/10.3390/medicina59071343
_version_ 1785081007157805056
author Hernández-Mora, Francisco J.
Cerda-Guerrero, Claudia K.
García-Benavides, Leonel
Cervantes-Pérez, Enrique
Ramírez-Ochoa, Sol
Vázquez-Beltrán, Janet Cristina
Cervantes-Guevara, Gabino
Ledezma-Hurtado, Ernesto
Nápoles-Echauri, Adriana
González-Ojeda, Alejandro
Fuentes-Orozco, Clotilde
Hernández-Rivas, María Isabel
Chávez-Tostado, Mariana
Cervantes-Cardona, Guillermo A.
author_facet Hernández-Mora, Francisco J.
Cerda-Guerrero, Claudia K.
García-Benavides, Leonel
Cervantes-Pérez, Enrique
Ramírez-Ochoa, Sol
Vázquez-Beltrán, Janet Cristina
Cervantes-Guevara, Gabino
Ledezma-Hurtado, Ernesto
Nápoles-Echauri, Adriana
González-Ojeda, Alejandro
Fuentes-Orozco, Clotilde
Hernández-Rivas, María Isabel
Chávez-Tostado, Mariana
Cervantes-Cardona, Guillermo A.
author_sort Hernández-Mora, Francisco J.
collection PubMed
description Background and Objectives: Central aortic pressure (CAP) can be measured through noninvasive methods, and CAP wave analysis can provide information about arterial stiffness. The objective of this study was to compare CAP in women with preeclampsia and normotensive postpartum women from an urban region in western Mexico. Materials and Methods: We recruited 78 women in immediate puerperium, including 39 with preeclampsia and 39 with normotension, who received delivery care in our hospital between September 2017 and January 2018. Pulse wave analysis was used to assess central hemodynamics as well as arterial stiffness with an oscillometric device. For this purpose, the measurement of the wave of the left radial artery was obtained with a wrist applanation tonometer and the ascending aortic pressure wave was generated using the accompanying software (V 1.1, Omron, Japan). Additionally, the systolic CAP, diastolic pressure, pulse pressure, heart rate, and rise rate adjusted for a heart rate of 75 bpm were determined. The radial pulse wave was calibrated using the diastolic and mean arterial pressures obtained from the left brachial artery. For all the statistical analyses, we considered p < 0.05 to be significant. Results: The results were as follows: a systolic CAP of 125.40 (SD 15.46) vs. 112.10 (SD 10.12) with p < 0.0001 for women with and without preeclampsia, respectively. Systolic CAP was significantly elevated in women with preeclampsia and could indicate an elevated risk of cardiovascular disease. Conclusion: CAP is an important parameter that can be measured in this group of patients and is significantly elevated in women with postpartum preeclampsia, even when the brachial blood pressure is normal.
format Online
Article
Text
id pubmed-10383829
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-103838292023-07-30 Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico Hernández-Mora, Francisco J. Cerda-Guerrero, Claudia K. García-Benavides, Leonel Cervantes-Pérez, Enrique Ramírez-Ochoa, Sol Vázquez-Beltrán, Janet Cristina Cervantes-Guevara, Gabino Ledezma-Hurtado, Ernesto Nápoles-Echauri, Adriana González-Ojeda, Alejandro Fuentes-Orozco, Clotilde Hernández-Rivas, María Isabel Chávez-Tostado, Mariana Cervantes-Cardona, Guillermo A. Medicina (Kaunas) Brief Report Background and Objectives: Central aortic pressure (CAP) can be measured through noninvasive methods, and CAP wave analysis can provide information about arterial stiffness. The objective of this study was to compare CAP in women with preeclampsia and normotensive postpartum women from an urban region in western Mexico. Materials and Methods: We recruited 78 women in immediate puerperium, including 39 with preeclampsia and 39 with normotension, who received delivery care in our hospital between September 2017 and January 2018. Pulse wave analysis was used to assess central hemodynamics as well as arterial stiffness with an oscillometric device. For this purpose, the measurement of the wave of the left radial artery was obtained with a wrist applanation tonometer and the ascending aortic pressure wave was generated using the accompanying software (V 1.1, Omron, Japan). Additionally, the systolic CAP, diastolic pressure, pulse pressure, heart rate, and rise rate adjusted for a heart rate of 75 bpm were determined. The radial pulse wave was calibrated using the diastolic and mean arterial pressures obtained from the left brachial artery. For all the statistical analyses, we considered p < 0.05 to be significant. Results: The results were as follows: a systolic CAP of 125.40 (SD 15.46) vs. 112.10 (SD 10.12) with p < 0.0001 for women with and without preeclampsia, respectively. Systolic CAP was significantly elevated in women with preeclampsia and could indicate an elevated risk of cardiovascular disease. Conclusion: CAP is an important parameter that can be measured in this group of patients and is significantly elevated in women with postpartum preeclampsia, even when the brachial blood pressure is normal. MDPI 2023-07-21 /pmc/articles/PMC10383829/ /pubmed/37512152 http://dx.doi.org/10.3390/medicina59071343 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Hernández-Mora, Francisco J.
Cerda-Guerrero, Claudia K.
García-Benavides, Leonel
Cervantes-Pérez, Enrique
Ramírez-Ochoa, Sol
Vázquez-Beltrán, Janet Cristina
Cervantes-Guevara, Gabino
Ledezma-Hurtado, Ernesto
Nápoles-Echauri, Adriana
González-Ojeda, Alejandro
Fuentes-Orozco, Clotilde
Hernández-Rivas, María Isabel
Chávez-Tostado, Mariana
Cervantes-Cardona, Guillermo A.
Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico
title Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico
title_full Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico
title_fullStr Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico
title_full_unstemmed Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico
title_short Comparison of Central Aortic Pressure between Women with Preeclampsia and Normotensive Postpartum Women from an Urban Region of Western Mexico
title_sort comparison of central aortic pressure between women with preeclampsia and normotensive postpartum women from an urban region of western mexico
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383829/
https://www.ncbi.nlm.nih.gov/pubmed/37512152
http://dx.doi.org/10.3390/medicina59071343
work_keys_str_mv AT hernandezmorafranciscoj comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT cerdaguerreroclaudiak comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT garciabenavidesleonel comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT cervantesperezenrique comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT ramirezochoasol comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT vazquezbeltranjanetcristina comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT cervantesguevaragabino comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT ledezmahurtadoernesto comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT napolesechauriadriana comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT gonzalezojedaalejandro comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT fuentesorozcoclotilde comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT hernandezrivasmariaisabel comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT chaveztostadomariana comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico
AT cervantescardonaguillermoa comparisonofcentralaorticpressurebetweenwomenwithpreeclampsiaandnormotensivepostpartumwomenfromanurbanregionofwesternmexico