Hemodynamic changes of renal main arteries in pregnancy-induced hypertension

Eur J Obstet Gynecol Reprod Biol. 2007 Mar;131(1):36-39. doi: 10.1016/j.ejogrb.2006.04.019. Epub 2006 May 23.

Abstract

Objective: To detect Doppler ultrasonographic velocimetry alterations of renal main arteries in pregnancy-induced hypertension (PIH).

Study design: The peak systolic and end-diastolic velocities (Vs, Vd), resistivity and pulsatility indices (RI, PI), systolic/diastolic ratio (S/D ratio), acceleration time (AT) and systolic acceleration (SA) of renal main arteries were obtained in 17 PIH women and 15 age- and gestation week-matched normal pregnant (NP) women. The data between the two groups were compared with unpaired student's t-test.

Results: The AT was much longer and SA much lower in PIH than those in NP, while no significant differences were found in Vs, Vd, RI, PI and S/D ratio.

Conclusions: AT and SA could be better used than Vs, Vd, RI, PI or S/D for detection of hemodynamic changes of renal arteries in patients with PIH. It may also imply that larger arteries proximal to the renal main artery be significantly affected.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Blood Pressure / physiology*
  • Case-Control Studies
  • Female
  • Humans
  • Hypertension, Pregnancy-Induced / physiopathology*
  • Laser-Doppler Flowmetry
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / physiopathology
  • Pregnancy Trimester, Second / physiology
  • Regional Blood Flow / physiology
  • Renal Artery / diagnostic imaging
  • Renal Artery / physiopathology*
  • Ultrasonography