TY  - JOUR
SP  - 161
N1  - FELTÖLT?: Surányi Andrea - gaspar-suranyi.andrea@med.u-szeged.hu
TI  - 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
EP  - 169
JF  - CROATIAN MEDICAL JOURNAL
SN  - 0353-9504
Y1  - 2017///
IS  - 2
ID  - publicatio11136
A1  -  Altorjay Ábel T.
A1  -  Surányi Andrea
A1  -  Nyári Tibor András
A1  -  Németh Gábor
AV  - public
N2  - 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.
VL  - 58
UR  - http://publicatio.bibl.u-szeged.hu/11136/
ER  -