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Atrial Natriuretic Peptide (ANP) in early pregnancy is associated with development of preeclampsia in type 1 diabetes
Authors:Ringholm Lene  Pedersen-Bjergaard Ulrik  Thorsteinsson Birger  Boomsma Frans  Damm Peter  Mathiesen Elisabeth R
Affiliation:aCenter for Pregnant Women with Diabetes, Rigshospitalet, University of Copenhagen, Denmark;bDepartment of Endocrinology, Rigshospitalet, Copenhagen, Denmark;cEndocrinology Section, Department of Cardiology and Endocrinology, Hillerød Hospital, Denmark;dFaculty of Health Sciences, University of Copenhagen, Denmark;eSection of Vascular Pharmacology and Metabolism, Department of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands;fDepartment of Obstetrics, Rigshospitalet, Copenhagen, Denmark
Abstract:
The vasoactive markers of cardiac overload Atrial Natriuretic Peptide (ANP) and Brain Natriuretic Peptide (BNP) are elevated in preeclampsia. This study documents higher ANP concentrations as early as at 9 weeks in type 1 diabetic women subsequently developing preeclampsia suggesting that preeclampsia is associated with cardiovascular changes in early pregnancy.
Keywords:Abbreviations: ANP, Atrial Natriuretic Peptide   BNP, Brain Natriuretic Peptide   CI, confidence interval   HbA1c, hemoglobin A1c   OR, odds ratio   SMPG, self-monitored plasma glucose   UAE, Urinary Albumin Excretion
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