Instituto de Pesquisas e Pós-Graduação, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brasil.
Arq Bras Cardiol. 2020 Apr;114(4):647-654. doi: 10.36660/abc.20190055. Epub 2020 Mar 13.
Background Chronic hypertension (CH) and high arterial stiffness (AS) increase the risk of complications during pregnancy, such as superimposed preeclampsia and low fetal growth. Objective To evaluate the impact of hydrotherapy, a non-pharmacological treatment strategy, on AS in pregnant women with CH. Methods Cross-sectional study evaluating the effect of a standardized hydrotherapy session on AS in pregnant women with CH and controls. We used the device Mobil-O-Graph® NG to measure blood pressure (BP), heart rate (HR), and AS before and after a hydrotherapy session involving stretching, warming up, strengthening, and relaxation. The level of significance adopted in the statistical analyses was 5%. Results We evaluated 36 pregnant women, including 12 with hypertension (HG) and 24 controls (CG), aged 30.4 ± 4.8 years and at 29.2 ± 3.3 gestational weeks. Hydrotherapy promoted in both groups a significant reduction in AS assessed by the augmentation index at a HR of 75 bpm (AIx@75) (HG: 28.8 ± 7.3%, before; 22.4 ± 6.9%, after; p = 0.024; and CG: 29.1 ± 7.4%, before; 22.9 ± 6.6%, after; p = 0.001), as well as a reduction in HR (HG: 93.4 ± 11.8 bpm, before; 82.4 ± 10.0 bpm, after; p < 0.001; and CG: 91.4 ± 13.4 bpm, before; 81.5 ± 12.6 bpm, after; p < 0.001), but a nonsignificant reduction in BP. Conclusion We demonstrated that a hydrotherapy session acutely reduces AS assessed by AIx@75, and may represent a potential non-pharmacological strategy to prevent maternal and fetal complications in pregnant women with CH. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0).
慢性高血压（CH）和高动脉僵硬度（AS）增加了妊娠期间并发症的风险，如子痫前期和胎儿生长受限。目的：评估水疗，一种非药物治疗策略，对 CH 孕妇 AS 的影响。方法：横断面研究评估标准化水疗对 CH 孕妇和对照组 AS 的影响。我们使用 Mobil-O-Graph® NG 设备测量血压（BP）、心率（HR）和水疗前后的 AS，包括伸展、热身、强化和放松。统计分析中采用的显著性水平为 5%。结果：我们评估了 36 名孕妇，包括 12 名高血压孕妇（HG）和 24 名对照组孕妇（CG），年龄 30.4±4.8 岁，孕龄 29.2±3.3 周。水疗在两组中均显著降低了 HR 为 75 bpm 时的 AS 评估（AIx@75）（HG：28.8±7.3%，前；22.4±6.9%，后；p=0.024；CG：29.1±7.4%，前；22.9±6.6%，后；p=0.001），以及心率（HG：93.4±11.8 bpm，前；82.4±10.0 bpm，后；p<0.001；CG：91.4±13.4 bpm，前；81.5±12.6 bpm，后；p<0.001），但血压无显著降低。结论：我们证明水疗急性降低了 AIx@75 评估的 AS，可能是预防 CH 孕妇母婴并发症的潜在非药物策略。（Arq Bras Cardiol. 2020;[在线].ahead print，PP.0-0）。
