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Autonomic heart-rate control in response to standing in toxemic and normotensive primigravid pregnancies
Authors:E J Wouters  W J Jaspers  P J Kurver  P A de Jong
Affiliation:1. Department of Obstetrics and Gynecology, Catharina Hospital, Eindhoven, The Netherlands;2. Department of Internal Medicine, Catharina Hospital, Eindhoven, The Netherlands;3. Department of Pathology, Stichting Samenwerking Delftse Ziekenhuizen, Delft, The Netherlands
Abstract:Heart-rate changes after transition from a supine to a standing posture were measured in 12 hypertensive and 12 normotensive primigravid women, in their last trimester of gestation. The subjects beat-to-beat heart-rate (HR) changes were recorded on both an ordinary cardiotocograph and on magnetic tape. The hypertensive patient group (1) reached an HR-maximum after standing up in a significantly shorter period of time and (2) had a significantly lower HR during 1 min erect posture. A population threatened by pregnancy-induced hypertension might be detected by using the non-invasive method of recording the maternal beat-to-beat heart-rate changes after transition to the standing posture, even before the onset of hypertension.
Keywords:non-invasive test  vascular reactivity  posture changes  maternal heart rate  toxemia
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