Risk factors of pulmonary edema in women with preeclampsia from south India: a case-control study.

Abstract:

:Pulmonary edema is a potentially life-threatening complication of preeclampsia, but only few studies have looked at possible risk factors. This study assessed the association between various potential risk factors and the development of pulmonary edema. An age-matched case-control design with hospital records from a tertiary care center in south India was used. A total of 55 pregnant women with preeclampsia who developed pulmonary edema were included as cases, who were 4:1 aged-matched as controls with 220 preeclamptic women, and who did not develop pulmonary edema. Multivariate conditional logistic regression was used to produce adjusted odds ratios with 95% confidence intervals for the likelihood to develop pulmonary edema (OR; 95% CI). Nulliparity (3.94; 1.44-10.7), multifetal pregnancy (5.06; 1.59-16.0), mean arterial blood pressure in mmHg (1.08; 1.03-1.13), and mild (3.25; 1.02-1.29) and moderate (4.43; 1.76-11.1) anemia showed increased odds. Multifetal pregnancy in nulliparous women had higher odds (39.5; 6.2-251) compared with those with singleton pregnancies (3.17; 1.13-8.88). While early aggressive blood pressure treatment can reduce the risk of pulmonary edema, the other risk factors are either non-modifiable or relate to disease severity; thus, continuous monitoring would be relevant for early diagnosis and management, especially among nulliparous preeclamptic women with multifetal pregnancies.

journal_name

J Hum Hypertens

authors

Keepanasseril A,Monárrez-Espino J,Vadivelu P,Kumar Maurya D

doi

10.1038/s41371-020-0300-1

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

727-734

issue

10

eissn

0950-9240

issn

1476-5527

pii

10.1038/s41371-020-0300-1

journal_volume

34

pub_type

杂志文章
  • Impact of the renin-angiotensin-aldosterone system on blood pressure response to intravenous enalaprilat in patients with hypertensive crises.

    abstract::The purpose of the study was to evalute the impact of the renin-angiotensin-aldosterone (RAA) system on blood pressure (BP) response in patients with hypertensive emergencies and urgencies treated with intravenous enalaprilat. Thirty-five patients with a systolic BP (SBP) >210 mm Hg and/or diastolic BP (DBP) >110 mm H...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000404

    authors: Hirschl MM,Binder M,Bur A,Herkner H,Woisetschläger C,Bieglmayer C,Laggner AN

    更新日期:1997-03-01 00:00:00

  • Left ventricular hypertrophy, blood pressure and ACE genotype in untreated hypertension.

    abstract::It has been suggested that the deletion polymorphism of the angiotensin-converting enzyme (ACE) genotype may be important in the development of left ventricular hypertrophy (LVH). In order to test this hypothesis we investigated the interaction between blood pressure (BP), LVH and ACE genotype in 86 previously untreat...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000491

    authors: Mayet J,O'Kane KP,Elton R,Johnstone HA,Shahi M,Ozkor MA,Stanton AV,Poulter NR,Sever PS,Foale RA,Webb DJ,Thom SA

    更新日期:1997-09-01 00:00:00

  • The importance of the renin-angiotensin system in cardiovascular disease.

    abstract::The renin-angiotensin system is central to the pathophysiology of a number of cardiovascular disorders. Most obviously this is so with renin secreting tumours, but the system is of central importance in other disorders such as scleroderma renal crisis and most cases of malignant hypertension. Activation of the renin-a...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/sj.jhh.1000638

    authors: Nicholls MG,Richards AM,Agarwal M

    更新日期:1998-05-01 00:00:00

  • Preeclampsia: effect on newborn blood pressure in the 3 days following preterm birth: a cohort study.

    abstract::Maternal hypertension and preeclampsia are associated with greater risk of hypertension in childhood, and cardiovascular events in adulthood. However, whether preeclampsia affects blood pressure (BP) in the newborn period is unclear. Previous neonatal studies were based on small sample sizes, very low birth weight or ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.50

    authors: Reveret M,Boivin A,Guigonnis V,Audibert F,Nuyt AM

    更新日期:2015-02-01 00:00:00

  • Factors influencing the development of malignant hypertension in Nigeria.

    abstract::Hypertension prevalence rates remain comparatively low in Nigeria, although the associated morbidity and mortality including that due to malignant hypertension (MHT) is considerable. To determine the factors that may be associated with the development of MHT we compared 74 patients with essential MHT (age 48 +/- 9 yea...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000963

    authors: Kadiri S,Olutade BO,Osobamiro O

    更新日期:2000-03-01 00:00:00

  • Contribution of nitric oxide to the blood pressure and arterial responses to exercise in humans.

    abstract::An exaggerated blood pressure (BP) response to exercise predicts future cardiovascular risk. The mechanisms underlying exercise-induced hypertension remain unclear, although endothelial dysfunction and elevated arterial stiffness may contribute. Given the association between reductions in nitric oxide (NO) and vascula...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/jhh.2010.53

    authors: Campbell R,Fisher JP,Sharman JE,McDonnell BJ,Frenneaux MP

    更新日期:2011-04-01 00:00:00

  • Association between renin-angiotensin system gene polymorphism and essential hypertension: a community-based study.

    abstract::Renin-angiotensin (RAS) genes, a group of promising candidate genes involved in essential hypertension (EH), play a key role in blood pressure regulation. Recently, a series of novel RAS gene polymorphisms were reported, which significantly influence the rate of the gene transcription. This study was designed to explo...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2008.123

    authors: Jiang X,Sheng H,Li J,Xun P,Cheng Y,Huang J,Xiao H,Zhan Y

    更新日期:2009-03-01 00:00:00

  • Attenuated radial augmentation index is associated with successful long-term antihypertensive treatment.

    abstract::Pulse wave analysis was performed in apparently normal volunteers (n=164) and in essentially hypertensive patients without cardiovascular complications (n=171) using a newly developed non-invasive pulse wave measurement device (HEM-9010AI). Our results suggest that early wave reflections measured by radial augmentatio...

    journal_title:Journal of human hypertension

    pub_type: 信件

    doi:10.1038/sj.jhh.1002278

    authors: Ohno Y,Kanno Y,Maruyama T,Morii T,Eguchi T,Hirao K,Takenaka T,Suzuki H

    更新日期:2008-02-01 00:00:00

  • Overdiagnosis of hypertension in the elderly.

    abstract::Seventeen untreated and 36 treated hypertensives aged 65 years or more were referred to our clinic because of repeated values of systolic blood pressure > or = 160 mmHg and diastolic blood pressure > or = 95 mmHg. All 53 patients underwent 24h blood pressure monitoring during their customary daily activities. Eleven (...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Wittenberg C,Zabludowski JR,Rosenfeld JB

    更新日期:1992-10-01 00:00:00

  • Knowledge of blood pressure measurement among a teaching hospital staff in a developing nation.

    abstract::Hypertension is a common and potentially serious disease and accurate measurement of blood pressure (BP) is important for its diagnosis and management. The aim of this study was to assess the knowledge of hospital staff on the basic principles of BP measurement. Consultants, junior doctors and nurses in a large teachi...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000480

    authors: Ahmed ME

    更新日期:1997-08-01 00:00:00

  • Double-blind crossover study of once daily nifedipine coat core in essential hypertension.

    abstract::Nineteen patients with essential hypertension on regular treatment with nifedipine tablets 20 mg twice daily and whose DBP was < 95 mmHg on at least two occasions two weeks apart were entered in a double-blind randomised crossover study of three weeks treatment with nifedipine coat core (new formulation) either as 30 ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Missouris CG,Cappuccio FP,Markandu ND,Singer DR,MacGregor GA

    更新日期:1994-04-01 00:00:00

  • Blood pressure and other risk factors before the onset of myocardial infarction in hypertensive patients.

    abstract::To investigate blood pressure (BP) as well as other risk factors before the onset of myocardial infarction in hypertensive patients, we analysed the BP and metabolic variables in 94 hypertensive patients who had been followed up in our out-patient clinic before the first onset (M1 group; n = 42, 69 +/- 1 years, mean +...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000697

    authors: Minami J,Kawano Y,Nonogi H,Ishimitsu T,Matsuoka H,Takishita S

    更新日期:1998-10-01 00:00:00

  • Impact of calcium antagonists on bleeding time in patients with chronic renal failure.

    abstract::Haemorrhagic diathesis develops in chronic renal failure, in which calcium antagonists are used widely as antihypertensive agents. Although calcium antagonists are reported to impair platelet function, it has not been examined whether calcium antagonists alter bleeding time. The present study was conducted to clarify ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1038/sj.jhh.1001327

    authors: Hayashi K,Matsuda H,Honda M,Ozawa Y,Tokuyama H,Okubo K,Takamatsu I,Kanda T,Tatematsu S,Homma K,Saruta T

    更新日期:2002-03-01 00:00:00

  • Influence of sex on blood pressure and left ventricular mass in adolescents: the Hypertension in Pregnancy Offspring Study.

    abstract::The aim of the present longitudinal study was to describe determinants of blood pressure (BP) and echocardiographically calculated left ventricular mass in adolescents with a variable risk of future hypertension. BP was measured and M-mode echocardiography was performed in 52 children, 29 male and 23 female, at a mean...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Himmelmann A,Svensson A,Hansson L

    更新日期:1994-07-01 00:00:00

  • Clinical relevance of visit-to-visit blood pressure variability: impact on renal outcomes.

    abstract::An impaired renal function has been found associated with very high cardiovascular (CV) risk, especially in subjects with type 2 diabetes. Microalbuminuria is a sensitive early marker of renal damage, often preceding the more advanced stages of diabetic nephropathy. Consistent evidence has been provided that any degre...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2013.96

    authors: Parati G,Liu X,Ochoa JE

    更新日期:2014-07-01 00:00:00

  • Effect of protein kinase C and insulin on Na+/H+ exchange in red blood cells of essential hypertensives.

    abstract::The kinetic properties of sodium-proton exchange are abnormal in human red blood cells of hypertensive patients and it has been demonstrated that the transport protein undergoes post-translational modifications able to affect its kinetic properties. Protein kinase C (PKC) activation decreases the affinity constant for...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000804

    authors: Ceolotto G,Sartori M,Felice M,Clari G,Bordin L,Semplicini A

    更新日期:1999-05-01 00:00:00

  • Aortic pulse wave velocity in individuals of Asian and African ancestry: the HELISUR study.

    abstract::Aortic pulse wave velocity has emerged as an important predictor of cardiovascular events, but data on ethnic differences in pulse wave velocity remain scarce. We explored differences in pulse wave velocity between people of Asian and African ancestry. Data were used from the cross-sectional Healthy Life in Suriname (...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-018-0144-0

    authors: Diemer FS,Baldew SM,Haan YC,Karamat FA,Oehlers GP,van Montfrans GA,van den Born BH,Peters RJG,Nahar-Van Venrooij LMW,Brewster LM

    更新日期:2020-02-01 00:00:00

  • Albuminuria induced by exercise in hypertensive type I and type II diabetic patients: a randomised, double-blind study on the effects of acute administration of captopril and nifedipine.

    abstract::Physical exercise can increase urinary albumin excretion rate (UAER) in diabetic patients without microalbuminuria at rest (stage II diabetic nephropathy) or with baseline microalbuminuria (stage III diabetic nephropathy). The aim of this study was to compare the acute effects of captopril, an ACE inhibitor, and nifed...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Romanelli G,Giustina A,Cravarezza P,Caldonazzo A,Agabiti-Rosei E,Giustina G

    更新日期:1991-06-01 00:00:00

  • Study of risk factors leading to coronary heart disease in urban Zulus.

    abstract::Coronary heart disease (CHD) is still relatively uncommon in the black population of South Africa. We embarked on a study to determine the prevalence of risk factors leading to CHD in the black population of Durban. The study sample was selected from patients attending a dental clinic at a hospital. A total of 458 Zul...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Seedat YK,Mayet FG,Latiff GH,Joubert G

    更新日期:1993-12-01 00:00:00

  • A genetic risk score for hypertension is associated with risk of thoracic aortic aneurysm.

    abstract::A genetic risk score (GRS) based on 29 single nucleotide polymorpysms (SNPs) associated with high blood pressure (BP) was prospectively associated with development of hypertension, stroke and cardiovascular events. The aim of the present study was to evaluate the impact of this GRS on the incidence of aortic disease, ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-018-0159-6

    authors: Tagetti A,Bonafini S,Ohlsson T,Engström G,Almgren P,Minuz P,Smith G,Melander O,Fava C

    更新日期:2019-09-01 00:00:00

  • Absence of association between depression and hypertension: results of a prospectively designed population-based study.

    abstract::The objective of this study was to examine the relation between hypertension and depression. In a cross-sectional study of the urban region of a State capital with more than 1.5 million inhabitants, 1174 men and women aged 18-80 years, selected at random from the population, were studied. Blood pressure, hypertension ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1002017

    authors: Wiehe M,Fuchs SC,Moreira LB,Moraes RS,Pereira GM,Gus M,Fuchs FD

    更新日期:2006-06-01 00:00:00

  • Elevated microRNA-34a contributes to trophoblast cell apoptosis in preeclampsia by targeting BCL-2.

    abstract::Preeclampsia (PE) is one of the most common pregnancy-specific pathologic complications, and is characterised by onset of hypertension and proteinuria. Placental trophoblast cell apoptosis is generally accepted as a major cause of PE. However, the details of the mechanism underlying the condition remain unclear. Here,...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2017.65

    authors: Guo M,Zhao X,Yuan X,Li P

    更新日期:2017-12-01 00:00:00

  • Renal resistive index and cardiovascular organ damage in a large population of hypertensive patients.

    abstract::We evaluated the relationship between renal resistive index (RRI) of the intrarenal vasculature and cardiovascular (CV) organ damage such as left ventricular hypertrophy (LVH), diastolic dysfunction and carotid atherosclerosis in a large sample of hypertensive patients. 566 hypertensive patients underwent echocardiogr...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1002145

    authors: Tedesco MA,Natale F,Mocerino R,Tassinario G,Calabrò R

    更新日期:2007-04-01 00:00:00

  • Increased pulse pressure and carotid vascular resistance in normotensive black African subjects.

    abstract::To evaluate ethnic differences in cerebral circulation, an index of carotid vascular resistance (RI) was determined by continuous wave Doppler ultrasound. Validation of the index resulted from a significant correlation between RI and carotid vascular resistance obtained from direct measurement of blood pressure and ca...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Toto-Moukouo JA,Safar ME

    更新日期:1990-06-01 00:00:00

  • The hemodynamic patterns in hypertensive men and women of different age.

    abstract::Aging is associated with cardiovascular remodeling, which can be accelerated in arterial hypertension (AH). The aim of this study was to evaluate the relation between hemodynamic profile and age, as well as to identify the role of sex in hemodynamic patterns of aging in AH. The study comprised 326 patients with AH (me...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2015.63

    authors: Krzesiński P,Stańczyk A,Gielerak G,Piotrowicz K

    更新日期:2016-03-01 00:00:00

  • Blood pressure during siesta: effect on 24-h ambulatory blood pressure profiles analysis.

    abstract::Blood pressure (BP) during siesta declines to levels similar to those of night time sleep. The objective of the study was to assess the effect of siesta on 24-h ambulatory BP (ABP) data. Two different approaches were employed for the definition of day and night periods: (1) actual patient reported day and night interv...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000383

    authors: Stergiou GS,Malakos JS,Zourbaki AS,Achimastos AD,Mountokalakis TD

    更新日期:1997-02-01 00:00:00

  • The issue of quality of life in antihypertensive therapy.

    abstract::The treatment of hypertension is based on an assessment of the balance between the effects of therapy on survival on the one hand and effects of the patient's symptoms and well-being on the other. The concept of quality of life is used to summarise the latter effects. Preservation of quality of life involves both the ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Jern S,Zanchetti A

    更新日期:1993-02-01 00:00:00

  • Developmental abnormalities, blood pressure variability and renal disease in Riley Day syndrome.

    abstract::Riley Day syndrome, commonly referred to as familial dysautonomia (FD), is a genetic disease with extremely labile blood pressure owing to baroreflex deafferenation. Chronic renal disease is very frequent in these patients and was attributed to recurrent arterial hypotension and renal hypoperfusion. Aggressive treatme...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2011.107

    authors: Norcliffe-Kaufmann L,Axelrod FB,Kaufmann H

    更新日期:2013-01-01 00:00:00

  • The association between antihypertensive drug therapies and plasma lipid levels in the general population.

    abstract:OBJECTIVE:To assess the association between different antihypertensive drug regimens and plasma lipid levels in the general population. METHODS:The Monitoring Project on Cardiovascular Risk Factors was conducted from 1987 to 1991 as a cross-sectional study in The Netherlands. Antihypertensive drug-users and untreated ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1038/sj.jhh.1001197

    authors: Maitland-van der Zee AH,Klungel OH,Kloosterman JM,Seidell JC,Leufkens HG,de Boer A

    更新日期:2001-10-01 00:00:00

  • People with the major alleles of ATP2B1 rs17249754 increases the risk of hypertension in high ratio of sodium and potassium, and low calcium intakes.

    abstract::It is important to understand what genetic risk factors lead to hypertension and how genotype-specific dietary and lifestyle modification can mitigate the risk of developing hypertension. The ATP2B1 rs17249754 gene, which encodes a calcium pump expressed in vascular smooth muscle was identified as having variants that...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2017.72

    authors: Daily JW,Kim BC,Liu M,Park S

    更新日期:2017-12-01 00:00:00