Longitudinal assessment of D-dimer and plasminogen activator inhibitor type-1 plasma levels in pregnant women with risk factors for preeclampsia

Hypertens Pregnancy. 2019 Feb;38(1):58-63. doi: 10.1080/10641955.2019.1577435. Epub 2019 Feb 13.

Abstract

Objective: Investigating D-Dimer/D-Di and plasminogen activator inhibitor type-1/PAI-1 levels throughout gestation in women with preeclampsia/PE risk factors.

Methods: D-Di and PAI-1 plasma levels were determined in 28 women at 12-19, 20-29, 30-34 and 35-40 weeks of gestation.

Results: D-Di was lower at 12-19 weeks and higher at 30-34 weeks in women who developed PE versus who did not develop it. D-Di increased throughout gestation in both groups, peaking earlier in pregnant women who developed PE versus who did not develop it. PA1-1 increased across gestation, but it didn't differ between groups.

Conclusion: D-Di was able to discriminate these groups of women at 12-19 and 30-34 weeks of gestation.

Keywords: D-dimer; PAI-1; Preeclampsia; hypercoagulability; longitudinal study.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Fibrin Fibrinogen Degradation Products / metabolism*
  • Humans
  • Longitudinal Studies
  • Plasminogen Activator Inhibitor 1 / blood*
  • Pre-Eclampsia / blood*
  • Pregnancy
  • Risk Factors
  • Young Adult

Substances

  • Fibrin Fibrinogen Degradation Products
  • Plasminogen Activator Inhibitor 1
  • fibrin fragment D