array:22 [ "pii" => "S0025775303737646" "issn" => "00257753" "doi" => "10.1016/S0025-7753(03)73764-6" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "73764" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2003" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2003;120:521-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4113 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 3475 "PDF" => 631 ] ] "itemSiguiente" => array:18 [ "pii" => "S0025775303737658" "issn" => "00257753" "doi" => "10.1016/S0025-7753(03)73765-8" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "73765" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2003;120:529-34" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4388 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 3997 "PDF" => 382 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Control de la presión arterial de los pacientes diabéticos en el ámbito de atención primaria. Estudio DIAPA" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "529" "paginaFinal" => "534" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Control of blood pressure in diabetic patients in primary care setting. DIAPA study" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Olga García Vallejo, José Vicente Lozano, Onofre Vegazo, F. Javier Jiménez Jiménez, José Luis Llisterri Caro, Josep Redón" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Olga García" "apellidos" => "Vallejo" ] 1 => array:2 [ "nombre" => "José Vicente" "apellidos" => "Lozano" ] 2 => array:2 [ "nombre" => "Onofre" "apellidos" => "Vegazo" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Javier Jiménez Jiménez" ] 4 => array:2 [ "nombre" => "José Luis" "apellidos" => "Llisterri Caro" ] 5 => array:2 [ "nombre" => "Josep" "apellidos" => "Redón" ] 6 => array:1 [ "colaborador" => "en representación de los investigadores del Estudio DIAPA" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775303737658?idApp=UINPBA00004N" "url" => "/00257753/0000012000000014/v1_201307291533/S0025775303737658/v1_201307291533/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Variación circadiana de la presión arterial en gestantes sanas, con hipertensión gestacional y con preeclampsia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "521" "paginaFinal" => "528" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ramón C. Hermida, Diana E. Ayala, José R. Fernández, Artemio Mojón, Ignacio Alonso, María F. Aguilar, Rafael Ucieda, José Codesido, Manuel Iglesias" "autores" => array:9 [ 0 => array:4 [ "nombre" => "Ramón C." "apellidos" => "Hermida" "email" => array:1 [ 0 => "rhermida@tsc.uvigo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Diana E." "apellidos" => "Ayala" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "José R." "apellidos" => "Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Artemio" "apellidos" => "Mojón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Ignacio" "apellidos" => "Alonso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "María F." "apellidos" => "Aguilar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 6 => array:3 [ "nombre" => "Rafael" "apellidos" => "Ucieda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 7 => array:3 [ "nombre" => "José" "apellidos" => "Codesido" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 8 => array:3 [ "nombre" => "Manuel" "apellidos" => "Iglesias" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Laboratorio de Bioingeniería y Cronobiología. Universidad de Vigo. Pontevedra. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Fisiopatología Obstétrica. Departamento de Obstetricia y Ginecología. Hospital Clínico Universitario. Santiago de Compostela. A Coruña. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Prof. R.C. Hermida. Laboratorio de Bioingeniería y Cronobiología. ETSI Telecomunicación. Campus Universitario. Vigo. 36200 Pontevedra. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Blood pressure variation in normal pregnancy, gestational hypertension, and preeclampsia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-08-28" "fechaAceptado" => "2002-11-28" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec221783" "palabras" => array:7 [ 0 => "Presión arterial" 1 => "Monitorización ambulatoria" 2 => "Variación circadiana" 3 => "Embarazo" 4 => "Normotensión" 5 => "Hipertensión gestacional" 6 => "Preeclampsia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec221782" "palabras" => array:7 [ 0 => "Blood pressure" 1 => "Ambulatory monitoring" 2 => "Circadian rhythm" 3 => "Pregnancy" 4 => "Normotension" 5 => "Gestational hypertension" 6 => "Preeclampsia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los cambios en el patrón de variación circadiana de la presión arterial pueden utilizarsepara predecir la preeclampsia o para valorar su gravedad. Con el objetivo de identificar posiblesdiferencias en la presión arterial en estadios tempranos del embarazo, hemos evaluado y comparado elpatrón de variación circadiana de la presión arterial en gestantes sanas y con complicaciones de la hipertensiónarterial al embarazo que fueron monitorizadas sistemáticamente a lo largo de la gestación.</p> <span class="elsevierStyleSectionTitle">Sujetos y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se analizaron 2.014 series de presión arterial monitorizadas automáticamente durante48 h cada 4 semanas desde la primera visita obstétrica hasta el parto en 205 gestantes normotensas,92 que desarrollaron hipertensión gestacional y 31 con preeclampsia. El patrón circadiano devariación de la presión arterial para cada grupo de gestantes en cada trimestre de gestación se determinómediante un análisis de componentes múltiples poblacional.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En comparación con los embarazos sin complicaciones, las gestantes que desarrollaronhipertensión gestacional o preeclampsia se caracterizan por una elevación estadísticamente significativaen la media diaria de la presión arterial en todos los trimestres (p < 0,001), con diferencias entregrupos de 15,1 mmHg en presión sistólica y de 9,1 en presión diastólica en el tercer trimestre de gestación.La media diaria de las gestantes con complicaciones estuvo siempre por debajo de 120/72mmHg para la presión sistólica/diastólica. Los resultados indican, además, que la media diaria es similaren el primer trimestre entre gestantes que desarrollaron hipertensión gestacional y preeclampsia.La diferencia entre estos grupos es estadísticamente significativa en el segundo trimestre en lapresión sistólica (3 mmHg; p = 0,002), pero no en la diastólica (0,9 mmHg; p = 0,230). Las diferenciasfueron altamente significativas, sin embargo, en el tercer trimestre (5,4 y 3,7 mmHg para la presiónsistólica y diastólica, respectivamente; p < 0,001).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las diferencias de presión arterial entre grupos de gestantes aparecen con valores mediosque están dentro de los márgenes aceptados de normotensión, incluso para la mayoría de las mujeresque desarrollaron hipertensión gestacional o preeclampsia. Estas diferencias, significativas ya desde elprimer trimestre, ofrecen nuevos parámetros para la identificación temprana de complicaciones hipertensivasen el embarazo y el establecimiento de medidas profilácticas.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Changes in circadian variation of blood pressure could be used either topredict preeclampsia or to assess its severity. With the objective of identifying potential differences inblood pressure at the early stages of pregnancy, we examined and compared the characteristics of circadianvariability in blood pressure in healthy and complicated pregnant women who were systematicallymonitored throughout gestation.</p> <span class="elsevierStyleSectionTitle">Subjects and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We analyzed 2,014 blood pressure series sampled through ambulatory monitoringfor 48 hours once every 4 weeks from the first obstetric visit until delivery. The study included205 women with uncomplicated pregnancy, 92 with gestational hypertension and 31 with preeclampsia.The circadian pattern of blood pressure variation for each group and trimester of gestation was establishedby means of a population multiple-components analysis.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Differences in the 24-hour mean between healthy and complicated pregnancies were highlysignificant in all trimesters (p < 0.001), with values of 15.1 and 9.1 mmHg for systolic and diastolicblood presure, respectively, in the third trimester of pregnancy. The 24-hour mean of systolic/diastolicblood pressure for complicated pregnancies was always below 120/72 mmHg. Results further indicatedsimilar circadian characteristics between gestational hypertension and preeclampsia in the firsttrimester of pregnancy. The difference between these two groups in the 24-hour mean was significantin the second trimester for systolic (3 mmHg; p = 0.002) but not diastolic blood pressure (0.9mmHg; p = 0.230). In the third trimester, the difference between gestational hypertension and preeclampsiawas significant for both variables (5.4 and 3.7 mmHg for systolic and diastolic blood pressure,respectively; p < 0.001).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The differences in blood pressure between healthy and complicated pregnancies, whichare observed as early as the first trimester of pregnancy, are detected when both systolic and diastolicblood pressure measurements in women with a late diagnosis of gestational hypertension or preeclampsiafall within accepted ranges of normotension. These differences offer new end points thatmay lead to an early identification of hypertensive complications in pregnancy as well as to the establishmentof prophylactic interventions.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:34 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Circadian blood pressure variability in healthy and complicated pregnancies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.E. Ayala" 1 => "R.C. Hermida" 2 => "A. Mojón" 3 => "J.R. Fernández" 4 => "M. 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Journal Information
Variación circadiana de la presión arterial en gestantes sanas, con hipertensión gestacional y con preeclampsia
Blood pressure variation in normal pregnancy, gestational hypertension, and preeclampsia
Ramón C. Hermidaa,
, Diana E. Ayalaa, José R. Fernándeza, Artemio Mojóna, Ignacio Alonsoa, María F. Aguilarb, Rafael Uciedab, José Codesidob, Manuel Iglesiasb
Corresponding author
rhermida@tsc.uvigo.es
Correspondencia: Prof. R.C. Hermida. Laboratorio de Bioingeniería y Cronobiología. ETSI Telecomunicación. Campus Universitario. Vigo. 36200 Pontevedra. España.
Correspondencia: Prof. R.C. Hermida. Laboratorio de Bioingeniería y Cronobiología. ETSI Telecomunicación. Campus Universitario. Vigo. 36200 Pontevedra. España.