Autoregulation hemodynamics in pregnancies complicated by hypertensive disorders
Author(s) -
R. A. Makarov,
S. V. Kinzhalova,
Н. С. Давыдова
Publication year - 2015
Publication title -
systemic hypertension
Language(s) - English
Resource type - Journals
eISSN - 2542-2189
pISSN - 2075-082X
DOI - 10.26442/sg29063
Subject(s) - hemodynamics , preeclampsia , medicine , pregnancy , autoregulation , obstetrics , cardiology , anesthesia , blood pressure , genetics , biology
In the article the comparative analysis parametres of haemodynamics and features of autoregulation of haemodynamics in patients with uncomplicated pregnancy and pregnancy with hypertension is carried out.Complex investigation of central haemodynamics in 196 patients in the third trimester of pregnancy (65 - with physiologically proceeding pregnancy, 66 - with chronic arterial hypertensia, 65 patients with the pregnancy complicated by preeclampsia) by means of noninvasive bioimpedance technology with calculation of oscillatory activity and the spectral analysis of the three parametres of haemodynamics was carried.Authentic differences of parameters of central haemodynamics and the data of the spectral analysis between healthy pregnant women and pregnant women with hypertensive the disorders were received, the most expressed deviations are noted in preeclampsia.Considering compromised haemodynamics regulation in patients with preeclampsia the differentiated approach to therapy and choice of anesthesiological protection is required at operative delivery in this group of pregnant women.
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