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Predictors of preeclampsia in the first trimester in normotensive and chronic hypertensive pregnant women

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dc.contributor.author Vázquez, Susana
dc.contributor.author Pascual, Julio (Pascual Santos)
dc.contributor.author Durán-Jordà, Xavier
dc.contributor.author Hernández, Jose Luis
dc.contributor.author Crespo, Marta
dc.contributor.author Oliveras, Anna
dc.date.accessioned 2023-03-21T07:08:40Z
dc.date.available 2023-03-21T07:08:40Z
dc.date.issued 2023
dc.identifier.citation Vázquez S, Pascual J, Durán-Jordà X, Hernández JL, Crespo M, Oliveras A. Predictors of preeclampsia in the first trimester in normotensive and chronic hypertensive pregnant women. J Clin Med. 2023 Jan 2;12(2):579. DOI: 10.3390/jcm12020579
dc.identifier.issn 2077-0383
dc.identifier.uri http://hdl.handle.net/10230/56300
dc.description.abstract Preeclampsia (PE) is characterized by the new onset of hypertension (HT) and proteinuria beyond the 20th week of gestation. We aimed to find the best predictor of PE and find out if it is different in women with or without HT. Consecutively attended pregnant women were recruited in the first trimester of pregnancy and followed-up. Laboratory and office and 24 h-ambulatory blood pressure (BP) data were collected. PE occurred in 6.25% of normotensives (n = 124). Both office mean BP and 24 h-systolic BP in the first trimester were higher in women with versus those without PE (p ≤ 0.001). In women with chronic hypertension (cHT), PE occurred in 55%; office SBP (p = 0.769) and 24 h-SBP (p = 0.589) were similar between those with and those without PE. Regarding biochemistry, in cHT, plasma urea and creatinine were higher in PE women than in those without cHT (p = 0.001 and p = 0.004 for the differences in both parameters). These differences were not observed in normotensives. In normotensives, mean BP was the best predictor of PE [ROC curve = 0.91 (95%CI 0.82–0.99)], best cut-off = 80.3 mmHg. In cHT, plasma urea and creatinine were the best predictors of PE, with ROC curves of 0.94 (95%CI 0.84–1.00) and 0.93 (95%CI 0.83–1.00), respectively. In the first trimester of pregnancy, the strongest predictor of PE in normotensive women is office mean BP, while in cHT, renal parameters are the strongest predictors. Otherwise, office BP is non-inferior to 24 h ambulatory BP to predict PE.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof Journal of Clinical Medicine. 2023 Jan 2;12(2):579
dc.rights © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Predictors of preeclampsia in the first trimester in normotensive and chronic hypertensive pregnant women
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3390/jcm12020579
dc.subject.keyword Preeclampsia
dc.subject.keyword Predictive factors
dc.subject.keyword Office blood pressure
dc.subject.keyword Ambulatory blood pressure monitoring
dc.subject.keyword Chronic hypertension
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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