Hemostasis and diagnosis of preeclampsia.

Abstract:

:The diagnosis of preeclampsia, with all of its consequences, is at times difficult to establish, especially when the patient has underlying chronic hypertension and is not known from prior prenatal care visits. Many screening tests have been proposed. These should be sensitive, relatively specific, easy to perform, of low cost, and have a reasonable interval from prediction to disease onset. Laboratory assays would obviously be useful. We evaluated hemostasis tests for the diagnosis of preeclampsia, and compared fibronectin, antithrombin III and alpha 2-antiplasmin in 48 preeclamptics and 86 control nulliparas. Receive operator characteristic (ROC) curve analysis suggested that fibronectin is the most effective of these tests. A similar analysis comparing the results of previous studies using serum iron, angiotensin infusion, urinary calcium/creatinine ratio, the rollover test and uric acid suggested a possible role for fibronectin in the diagnosis of preeclampsia. While not ideal, there seems to be, at present, no other, easy to perform laboratory test that outperforms fibronectin in predicting preeclampsia.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Saleh AA,Bottoms SF,Gerbasi FR,Mammen EF

doi

10.1016/0049-3848(94)90065-5

subject

Has Abstract

pub_date

1994-07-15 00:00:00

pages

163-71

issue

2

eissn

0049-3848

issn

1879-2472

pii

0049-3848(94)90065-5

journal_volume

75

pub_type

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