2004
DOI: 10.1586/14779072.2.3.375
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Prognostic value of ambulatory blood pressure measurements for the diagnosis of hypertension in pregnancy

Abstract: Several studies have indicated that the use of the 24 h mean blood pressure, mainly using reference thresholds derived from general nonpregnancy practice, does not provide an effective test for an individualized early diagnosis of hypertension in pregnancy, thus concluding that ambulatory blood pressure monitoring is not a valid approach in pregnancy. With the use of ambulatory blood pressure monitoring, epidemiologic studies have reported gender differences in the circadian variability of blood pressure and h… Show more

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Cited by 15 publications
(10 citation statements)
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“…[10][11][12][13][14][15][16][17][18][21][22][23][24][25][26][27] All studies with the exception of 1 case-control study 28 were prospective cohorts or birth record-based retrospective cohorts. The studies were based on 298 to 468 517 pregnancies occurring during 1996 to 2008.…”
Section: Description Of the Study Characteristicsmentioning
confidence: 99%
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“…[10][11][12][13][14][15][16][17][18][21][22][23][24][25][26][27] All studies with the exception of 1 case-control study 28 were prospective cohorts or birth record-based retrospective cohorts. The studies were based on 298 to 468 517 pregnancies occurring during 1996 to 2008.…”
Section: Description Of the Study Characteristicsmentioning
confidence: 99%
“…5 In healthy pregnancies, the blood pressure falls during the first trimester, reaching its lowest levels in midpregnancy, and then it increases to prepregnancy levels by term, whereas for women who develop gestational hypertension or preeclampsia blood pressure is stable during the first half of pregnancy and then increases until delivery. 28 A few studies have examined associations between air pollution and blood pressure in pregnant women.…”
Section: Biological Plausibilitymentioning
confidence: 99%
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“…It is well recognized that a relatively large proportion of pregnant women may have masked gestational hypertension, undetected by office BP measurements, but revealed by specific BP index or circadian patterns computed with ambulatory BP monitoring. [31][32][33] Notably, pregnant women at increased risk of hypertension disorders tend to have higher night-time ambulatory BP than women without development of hypertension complications during pregnancy. 33 At the same time, night-time ambulatory BP is an independent predictor of LA size in hypertensive patients.…”
Section: Discussionmentioning
confidence: 99%
“…The absence of normal vascular adjustment to pregnancy has been associated with complications such as hypertension and preeclampsia in late pregnancy. [9][10][11] Blood pressure in healthy pregnant women decreases through weeks 20 to 26 of gestation, then steadily increases by 7 to 10% of the nadir until delivery, with blood pressure returning to baseline postpartum. Women who do not exhibit this physiological nadir but rather maintain a stable blood pressure in the first half of pregnancy and steadily increase until delivery have higher rates of pregnancy-induced hypertension and preeclampsia and higher rates of hypertension and ischemic heart disease later in life.…”
mentioning
confidence: 99%