relation: http://publicatio.bibl.u-szeged.hu/11136/
title: Use of placental vascularization indices and uterine artery peak systolic velocity in early detection of pregnancies complicated by gestational diabetes, chronic or gestational hypertension, and preeclampsia at risk
creator:  Altorjay Ábel T.
creator:  Surányi Andrea
creator:  Nyári Tibor András
creator:  Németh Gábor
description: Aim We aimed to investigate correlations between uterine artery  peak systolic velocity (AUtPSV), and placental vascularization  in groups of normal blood pressure (NBP) and hypertensive  disorders of pregnancy (chronic hypertension (CHT), gestational  hypertension (GHT) and preeclampsia (PE)) alone or in  combination with gestational diabetes mellitus (GDM), and  hypothesized that AUtPSV rises when GDM complicates pregnancy  hypertension. Methods Placental 3-dimensional power Doppler indices, such as  vascularization index (VI), flow index (FI), and  vascularization-flow index (VFI), and uterine artery peak  systolic velocity (AUtPSV) were measured in CHT (N = 43),  CHT+GDM (N = 15), GHT (N = 57), GHT+GDM (N = 23) and PE (N = 17)  pregnancies, and compared to NBP (N = 109). Correlations were  analyzed between vascularization indices, AUtPSV, pregestational  BMI and adverse pregnancy outcome rates. Results In our results VI was higher in CHT (P = 0.010), while  FI was lower in CHT (P = 0.009), GHT and PE (P = 0.001) compared  to NBP. In case of VFI, significant difference was found between  CHT and GHT (P = 0.002), and NBP and PE (P = 0.001). FI was  found prognostic for umbilical pH and neonatal birth weight.  Pre-gestational BMI was significantly higher in GHT+GDM compared  to GHT, and in CHT+GDM compared to the CHT group. As for AUtPSV,  significant difference was found between NBP and CHT (P =  0.012), NBP and CHT+GDM (P = 0.045), NBP and GHT+GDM (P =  0.007), NBP and PE (P = 0.032), and GHT and GHT+GDM (P = 0.048)  groups. Conclusion Our study revealed that vascularization indices and  AUtPSV show significant differences due to gestational  pathology, and can be useful in detection of pregnancies at  risk. Use of placental vascularization indices and uterine artery peak  systolic velocity in early detection of pregnancies complicated  by gestational diabetes, chronic or gestational hypertension,  and preeclampsia at risk.
date: 2017
type: Folyóiratcikk
type: PeerReviewed
format: text
identifier: http://publicatio.bibl.u-szeged.hu/11136/1/3206984.pdf
identifier:     Altorjay Ábel T.;  Surányi Andrea;  Nyári Tibor András;  Németh Gábor: Use of placental vascularization indices and uterine artery peak systolic velocity in early detection of pregnancies complicated by gestational diabetes, chronic or gestational hypertension, and preeclampsia at risk.   CROATIAN MEDICAL JOURNAL, 58 (2).  pp. 161-169.  ISSN 0353-9504 (2017)     
identifier: doi:10.3325/cmj.2017.58.161
relation: 3206984
language: eng