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妊娠期高血压疾病的心脏和血流动力学测量

Cardiac and haemodynamic measurements in hypertensive pregnancy.

作者信息

Larkin H, Gallery E D, Hunyor S N, Gyory A Z, Boyce E S

出版信息

Clin Sci (Lond). 1980 Dec;59 Suppl 6:357s-360s. doi: 10.1042/cs059357s.

DOI:10.1042/cs059357s
PMID:7449282
Abstract
  1. Haemodynamic and left ventricular variables were determined by M-mode echocardiography in 21 normotensive and 36 hypertensive patients during the last trimester of pregnancy. 2. Blood pressure of hypertensive patients was lowered by bed rest only, or by oxprenolol or methyldopa, but remained elevated. 3. Cardiac output was raised in the last trimester of pregnancy in both normotensive and hypertensive patients. 4. Left ventricular mass was increased in normal pregnancy, but displayed an exaggerated increase in hypertensive patients. 5. Total peripheral resistance was inappropriately elevated in hypertensive pregnancy, except in the oxprenolol-treated group. 6. There ws no reduction in heart rate or cardiac output in the group treated with beta-adrenoreceptor blocking agents. These factors, in combination with normal peripheral resistance, may contribute to the improvement in foetal outcome described in maternal hypertension of pregnancy treated with oxprenolol.
摘要
  1. 在妊娠晚期,通过M型超声心动图测定了21名血压正常和36名高血压患者的血流动力学及左心室变量。2. 高血压患者的血压仅通过卧床休息,或通过氧烯洛尔或甲基多巴降低,但仍处于升高状态。3. 在妊娠晚期,血压正常和高血压患者的心输出量均升高。4. 正常妊娠时左心室质量增加,但高血压患者增加更为明显。5. 除氧烯洛尔治疗组外,高血压妊娠时总外周阻力不适当升高。6. 使用β-肾上腺素能受体阻滞剂治疗的组心率和心输出量没有降低。这些因素,再加上正常的外周阻力,可能有助于解释用氧烯洛尔治疗妊娠高血压时胎儿结局的改善情况。

相似文献

1
Cardiac and haemodynamic measurements in hypertensive pregnancy.妊娠期高血压疾病的心脏和血流动力学测量
Clin Sci (Lond). 1980 Dec;59 Suppl 6:357s-360s. doi: 10.1042/cs059357s.
2
Haemodynamics of hypertension in pregnancy assessed by M-mode echocardiography.应用M型超声心动图评估妊娠期高血压的血流动力学
Clin Exp Pharmacol Physiol. 1980 Sep-Oct;7(5):463-8. doi: 10.1111/j.1440-1681.1980.tb00092.x.
3
Maternal echocardiography in hypertensive pregnancies.高血压妊娠中的母体超声心动图检查。
Gynecol Obstet Invest. 1989;27(1):2-5. doi: 10.1159/000293604.
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Randomised controlled comparative study of methyldopa and oxprenolol in treatment of hypertension in pregnancy.甲基多巴与氧烯洛尔治疗妊娠期高血压的随机对照比较研究。
Br Med J (Clin Res Ed). 1983 Jun 18;286(6382):1927-30. doi: 10.1136/bmj.286.6382.1927.
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Antihypertensive treatment in pregnancy: analysis of different responses to oxprenolol and methyldopa.妊娠期高血压治疗:对氧烯洛尔和甲基多巴不同反应的分析。
Br Med J (Clin Res Ed). 1985 Aug 31;291(6495):563-6. doi: 10.1136/bmj.291.6495.563.
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Randomised comparison of methyldopa and oxprenolol for treatment of hypertension in pregnancy.甲基多巴与氧烯洛尔治疗妊娠期高血压的随机对照研究。
Br Med J. 1979 Jun 16;1(6178):1591-4. doi: 10.1136/bmj.1.6178.1591.
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Central circulatory responses in normotensive and hypertensive pregnancy.正常血压和高血压妊娠中的中枢循环反应。
Postgrad Med J. 1979 May;55(643):311-4. doi: 10.1136/pgmj.55.643.311.
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Br J Obstet Gynaecol. 1979 Mar;86(3):198-204. doi: 10.1111/j.1471-0528.1979.tb10593.x.
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Cardiac size and function in pregnancy-induced hypertension.妊娠高血压疾病中的心脏大小与功能
Am J Obstet Gynecol. 1984 Nov 1;150(5 Pt 1):443-9. doi: 10.1016/s0002-9378(84)90418-6.
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Haemodynamic adaptation at rest and during exercise to long-term antihypertensive treatment with combination of beta-receptor blocking and vasodilator agent.静息及运动时血流动力学对β受体阻滞剂与血管扩张剂联合长期降压治疗的适应性
Br Heart J. 1976 Dec;38(12):1240-6. doi: 10.1136/hrt.38.12.1240.

引用本文的文献

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Cardiac output and peripheral vascular resistance during normotensive and hypertensive pregnancy - a systematic review and meta-analysis.正常血压妊娠和高血压妊娠期间的心输出量和外周血管阻力:系统评价和荟萃分析。
BJOG. 2022 Apr;129(5):696-707. doi: 10.1111/1471-0528.16678. Epub 2021 Apr 6.
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Klin Wochenschr. 1986 Oct 15;64(20):1061-9. doi: 10.1007/BF01757212.