Evaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia

BACKGROUND AND OBJECTIVE: Preeclampsia is a common disease during pregnancy that may be associated with maternal and fetal mortality. Since the pathogenic process of preeclampsia begins during the first trimester of pregnancy, it is very difficult to identify biomarkers of early detection of preecla...

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Autores principales:	Z Bouzari, S Mahabadi, Sh Yazdani Cherati, S Talebi, K Hajian
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2020
Materias:	preeclampsia systolic blood pressure diastolic blood pressure mean arterial pressure. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8926a60a181e4416b9562b99dcccf052
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spelling	oai:doaj.org-article:8926a60a181e4416b9562b99dcccf0522021-11-09T10:15:55ZEvaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia1561-41072251-7170https://doaj.org/article/8926a60a181e4416b9562b99dcccf0522020-03-01T00:00:00Zhttp://jbums.org/article-1-8849-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Preeclampsia is a common disease during pregnancy that may be associated with maternal and fetal mortality. Since the pathogenic process of preeclampsia begins during the first trimester of pregnancy, it is very difficult to identify biomarkers of early detection of preeclampsia. The aim of this study was to determine the predictive validity of systolic, diastolic and mean arterial blood pressure in the first trimester of pregnancy in the diagnosis of preeclampsia. METHODS: This case-control study was performed on 200 pregnant women referred to Ayatollah Rouhani Hospital in Babol within a historical cohort. The data of the records of 100 pregnant women with preeclampsia diagnosis (case group) and 100 healthy women (control group) were filled in special forms and compared. FINDINGS: According to ROC curve analysis, in the first trimester for systolic blood pressure at the cut-off point of 117.5, sensitivity of 56% and specificity of 70%, for diastolic blood pressure at the cut-off point of 72.5, sensitivity of 68% and specificity of 63% and for mean arterial pressure at the cut-off point of 87.5, sensitivity of 67% and specificity of 66% were calculated. Based on the area under the ROC curve, the diagnostic power was 0.706, 0.663 and 0.709, respectively (p<0.001). CONCLUSION: The results of the present study indicate that arterial pressure can be used as an effective method in identifying women at risk for preeclampsia as a selection criterion in testing, treatment or prevention.Z BouzariS MahabadiSh Yazdani CheratiS TalebiK HajianBabol University of Medical Sciencesarticlepreeclampsiasystolic blood pressurediastolic blood pressuremean arterial pressure.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 22, Iss 1, Pp 283-289 (2020)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	preeclampsia systolic blood pressure diastolic blood pressure mean arterial pressure. Medicine R Medicine (General) R5-920
spellingShingle	preeclampsia systolic blood pressure diastolic blood pressure mean arterial pressure. Medicine R Medicine (General) R5-920 Z Bouzari S Mahabadi Sh Yazdani Cherati S Talebi K Hajian Evaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia
description	BACKGROUND AND OBJECTIVE: Preeclampsia is a common disease during pregnancy that may be associated with maternal and fetal mortality. Since the pathogenic process of preeclampsia begins during the first trimester of pregnancy, it is very difficult to identify biomarkers of early detection of preeclampsia. The aim of this study was to determine the predictive validity of systolic, diastolic and mean arterial blood pressure in the first trimester of pregnancy in the diagnosis of preeclampsia. METHODS: This case-control study was performed on 200 pregnant women referred to Ayatollah Rouhani Hospital in Babol within a historical cohort. The data of the records of 100 pregnant women with preeclampsia diagnosis (case group) and 100 healthy women (control group) were filled in special forms and compared. FINDINGS: According to ROC curve analysis, in the first trimester for systolic blood pressure at the cut-off point of 117.5, sensitivity of 56% and specificity of 70%, for diastolic blood pressure at the cut-off point of 72.5, sensitivity of 68% and specificity of 63% and for mean arterial pressure at the cut-off point of 87.5, sensitivity of 67% and specificity of 66% were calculated. Based on the area under the ROC curve, the diagnostic power was 0.706, 0.663 and 0.709, respectively (p<0.001). CONCLUSION: The results of the present study indicate that arterial pressure can be used as an effective method in identifying women at risk for preeclampsia as a selection criterion in testing, treatment or prevention.
format	article
author	Z Bouzari S Mahabadi Sh Yazdani Cherati S Talebi K Hajian
author_facet	Z Bouzari S Mahabadi Sh Yazdani Cherati S Talebi K Hajian
author_sort	Z Bouzari
title	Evaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia
title_short	Evaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia
title_full	Evaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia
title_fullStr	Evaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia
title_full_unstemmed	Evaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia
title_sort	evaluation of systolic, diastolic and mean arterial blood pressure in the first trimester of pregnancy as an indicator for predicting the occurrence of preeclampsia
publisher	Babol University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/8926a60a181e4416b9562b99dcccf052
work_keys_str_mv	AT zbouzari evaluationofsystolicdiastolicandmeanarterialbloodpressureinthefirsttrimesterofpregnancyasanindicatorforpredictingtheoccurrenceofpreeclampsia AT smahabadi evaluationofsystolicdiastolicandmeanarterialbloodpressureinthefirsttrimesterofpregnancyasanindicatorforpredictingtheoccurrenceofpreeclampsia AT shyazdanicherati evaluationofsystolicdiastolicandmeanarterialbloodpressureinthefirsttrimesterofpregnancyasanindicatorforpredictingtheoccurrenceofpreeclampsia AT stalebi evaluationofsystolicdiastolicandmeanarterialbloodpressureinthefirsttrimesterofpregnancyasanindicatorforpredictingtheoccurrenceofpreeclampsia AT khajian evaluationofsystolicdiastolicandmeanarterialbloodpressureinthefirsttrimesterofpregnancyasanindicatorforpredictingtheoccurrenceofpreeclampsia
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Evaluation of Systolic, Diastolic and Mean Arterial Blood Pressure in the First Trimester of Pregnancy as an Indicator for Predicting the Occurrence of Preeclampsia

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