Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/33690
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dc.contributor.authorFaber, R.en
dc.contributor.authorBaumert, M.en
dc.contributor.authorStepan, H.en
dc.contributor.authorWessel, N.en
dc.contributor.authorVoss, A.en
dc.contributor.authorWalther, T.en
dc.date.issued2004en
dc.identifier.citationJournal of Human Hypertension, 2004; 18(10):707-712en
dc.identifier.issn0950-9240en
dc.identifier.issn1476-5527en
dc.identifier.urihttp://hdl.handle.net/2440/33690-
dc.descriptionCopyright © 2004, Nature Publishing Groupen
dc.description.abstractHypertensive pregnancy disorders are a leading cause of perinatal and maternal morbidity and mortality. Heart rate variability (HRV), blood pressure variability (BPV), and baroreflex sensitivity (BRS) are relevant predictors of cardiovascular risk in humans. The aim of the study was to evaluate whether HRV, BPV, and BRS differ between distinct hypertensive pregnancy disorders. Continuous heart rate and blood pressure recordings were performed in 80 healthy pregnant women as controls (CON), 19 with chronic hypertension (CH), 18 with pregnancy-induced hypertension (PIH), and 44 with pre-eclampsia (PE). The data were assessed by time and frequency domain analysis, nonlinear dynamics, and BRS. BPV is markedly altered in all three groups with hypertensive disorders compared to healthy pregnancies, whereby changes were most pronounced in PE patients. Interestingly, this increase in PE patients did not lead to elevated spontaneous baroreflex events, while BPV changes in both the other hypertensive groups were paralleled by alterations in baroreflex parameters. The HRV is unaltered in CH and PE but significantly impaired in PIH. We conclude that parameters of the HRV, BPV, and BRS differ between various hypertensive pregnancy disorders. Thus, distinct clinical manifestations of hypertension in pregnancy have different pathophysiological, regulatory, and compensatory mechanisms.en
dc.description.statementofresponsibilityR Faber, M Baumert, H Stepan, N Wessel, A Voss and T Waltheren
dc.language.isoenen
dc.publisherNature Publishing Groupen
dc.source.urihttp://www.nature.com/jhh/journal/v18/n10/abs/1001730a.htmlen
dc.subjectbaroreflex; blood pressure monitoring; gestational hypertension; pre-eclampsia; sympathetic nervous systemen
dc.titleBaroreflex sensitivity, heart rate and blood pressure variability in hypertensive pregnancy disordersen
dc.typeJournal articleen
dc.identifier.rmid0020064277en
dc.identifier.doi10.1038/sj.jhh.1001730en
dc.identifier.pubid50411-
pubs.library.collectionElectrical and Electronic Engineering publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidBaumert, M. [0000-0003-2984-2167]en
Appears in Collections:Electrical and Electronic Engineering publications

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