Yamile L Valenzuela-Muhech, Alfredo J Cervantes-Ricaud, Erika R Carrasco-Blancas, Marco A Cortes-Martínez, Héctor Oviedo-Cruz
{"title":"妊娠11至14周时根据风险定义正常血压。","authors":"Yamile L Valenzuela-Muhech, Alfredo J Cervantes-Ricaud, Erika R Carrasco-Blancas, Marco A Cortes-Martínez, Héctor Oviedo-Cruz","doi":"10.24875/ACM.21000247","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To define normal blood pressure at first trimester of pregnancy by performance for pre-eclampsia prediction.</p><p><strong>Method: </strong>A cohort study in singleton pregnancies, according to the competing risks model for pre-eclampsia. Blood pressure was measured according to a standardized method at 11 to 14 weeks' gestation.</p><p><strong>Results: </strong>Among 797 pregnancies included, there were 40 (5.0%, IC95 3.6; 6.4) deliveries with pre-eclampsia. The systolic, diastolic, and mean arterial blood pressures were respectively of 101(9), 68(8) and 79(8) mmHg in pregnant women who did not develop pre-eclampsia, against 109(10), 75(8) and 86(8) in those who did (p < 0.001, t-test). The areas under the curves were 0.707 (0.637; 0.777), 0.728 (0.661; 0.795), and 0.738 (0.673; 0.803). At a 3% of false positive rate, the cut-off points were 119, 83 and 94 mmHg with predictive values of negative of 95.6%.</p><p><strong>Conclusions: </strong>It is feasible to define the normal values for blood pressure in pregnancy on biostatistic and clinical basis.</p>","PeriodicalId":8360,"journal":{"name":"Archivos de cardiologia de Mexico","volume":"93 1","pages":"62-68"},"PeriodicalIF":0.7000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/86/7567AX221-ACM-93-62.PMC10161832.pdf","citationCount":"0","resultStr":"{\"title\":\"Definition of normal blood pressure at 11 to 14 weeks' gestation according to risk.\",\"authors\":\"Yamile L Valenzuela-Muhech, Alfredo J Cervantes-Ricaud, Erika R Carrasco-Blancas, Marco A Cortes-Martínez, Héctor Oviedo-Cruz\",\"doi\":\"10.24875/ACM.21000247\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To define normal blood pressure at first trimester of pregnancy by performance for pre-eclampsia prediction.</p><p><strong>Method: </strong>A cohort study in singleton pregnancies, according to the competing risks model for pre-eclampsia. Blood pressure was measured according to a standardized method at 11 to 14 weeks' gestation.</p><p><strong>Results: </strong>Among 797 pregnancies included, there were 40 (5.0%, IC95 3.6; 6.4) deliveries with pre-eclampsia. The systolic, diastolic, and mean arterial blood pressures were respectively of 101(9), 68(8) and 79(8) mmHg in pregnant women who did not develop pre-eclampsia, against 109(10), 75(8) and 86(8) in those who did (p < 0.001, t-test). The areas under the curves were 0.707 (0.637; 0.777), 0.728 (0.661; 0.795), and 0.738 (0.673; 0.803). At a 3% of false positive rate, the cut-off points were 119, 83 and 94 mmHg with predictive values of negative of 95.6%.</p><p><strong>Conclusions: </strong>It is feasible to define the normal values for blood pressure in pregnancy on biostatistic and clinical basis.</p>\",\"PeriodicalId\":8360,\"journal\":{\"name\":\"Archivos de cardiologia de Mexico\",\"volume\":\"93 1\",\"pages\":\"62-68\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/86/7567AX221-ACM-93-62.PMC10161832.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archivos de cardiologia de Mexico\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.24875/ACM.21000247\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archivos de cardiologia de Mexico","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24875/ACM.21000247","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Definition of normal blood pressure at 11 to 14 weeks' gestation according to risk.
Objective: To define normal blood pressure at first trimester of pregnancy by performance for pre-eclampsia prediction.
Method: A cohort study in singleton pregnancies, according to the competing risks model for pre-eclampsia. Blood pressure was measured according to a standardized method at 11 to 14 weeks' gestation.
Results: Among 797 pregnancies included, there were 40 (5.0%, IC95 3.6; 6.4) deliveries with pre-eclampsia. The systolic, diastolic, and mean arterial blood pressures were respectively of 101(9), 68(8) and 79(8) mmHg in pregnant women who did not develop pre-eclampsia, against 109(10), 75(8) and 86(8) in those who did (p < 0.001, t-test). The areas under the curves were 0.707 (0.637; 0.777), 0.728 (0.661; 0.795), and 0.738 (0.673; 0.803). At a 3% of false positive rate, the cut-off points were 119, 83 and 94 mmHg with predictive values of negative of 95.6%.
Conclusions: It is feasible to define the normal values for blood pressure in pregnancy on biostatistic and clinical basis.
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