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Longitudinal assessment of D-dimer and plasminogen activator inhibitor type-1 plasma levels in pregnant women with risk factors for preeclampsia
Authors:Flávia Campos Lucena  Eura Martins Lage  Patrícia Gonçalves Teixeira  Alexandre Simões Barbosa  Rejane Diniz  Bashir Lwaleed
Institution:1. Department of Clinical and Toxicological Analysis, Faculty of Pharmacy, Federal University of Minas Gerais, Belo Horizonte, Brazil;2. Department of Gynecology and Obstetrics, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil;3. Department of Epidemiology, Veterinary School, Federal University of Minas Gerais, Belo Horizonte, Brazil;4. Department of Urology, University of Soutampton, Southampton, UK
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:Preeclampsia  D-dimer  PAI-1  longitudinal study  hypercoagulability
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