Association of albumin-globulin ratio with sympathovagal imbalance in pregnancy-induced hypertension

Indian Journal of Physiology and Pharmacology

Volumn 55, Issue 2, 2011, Pages 128-138

  Pal, G K ^a   Shyma, P ^a   Habeebullah, S ^a   Shyjus, P ^a   Pal, Pravati ^a   Nanda, Nivedita ^b  

^a JAWAHARLAL INSTITUTE OF POSTGRADUATE MEDICAL EDUCATION AND RESEARCH   (India)

^b PONDICHERRY INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

Albumin globulin ratio; Heart rate variability; LF HF ratio; Pregnancy induced hypertension; Spectral analysis of HRV

Indexed keywords

ALBUMIN; GLOBULIN;

ADULT; ARTICLE; AUTONOMIC DYSFUNCTION; AUTONOMIC NERVOUS SYSTEM FUNCTION; BIOCHEMISTRY; CONTROLLED STUDY; DISEASE ASSOCIATION; FEMALE; FIRST TRIMESTER PREGNANCY; FUNCTION TEST; HUMAN; INDIAN; MAJOR CLINICAL STUDY; MATERNAL HYPERTENSION; PATHOPHYSIOLOGY; PREDICTION; PREGNANT WOMAN; RISK ASSESSMENT; RISK FACTOR; SPECTROSCOPY; SYMPATHETIC TONE; SYMPATHOVAGAL IMBALANCE;

ADULT; ANALYSIS OF VARIANCE; BIOLOGICAL MARKERS; BLOOD PRESSURE; CASE-CONTROL STUDIES; EARLY DIAGNOSIS; FEMALE; HEART RATE; HUMANS; HYPERTENSION, PREGNANCY-INDUCED; INDIA; PREDICTIVE VALUE OF TESTS; PREGNANCY; PREGNANCY TRIMESTERS; SERUM ALBUMIN; SERUM GLOBULINS; SYMPATHETIC NERVOUS SYSTEM; VAGUS NERVE; YOUNG ADULT;

EID: 84860411188     PISSN: 00195499     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (23)

1. Greenwood JP, Stoker JB, Walker JJ, Mary DA. Sympathetic nerve discharge in normal pregnancy and pregnancy-induced hypertension. J Hypertens 1998; 16: 617-624.
2. Gupta P, Ghai OP. Common complications of pregnancy. In: Preventive and social medicine. 2nd edition. New Delhi: CBS Publications, 2007; 358-361.
3. Steven JW, Snezana B, Vesna DG. Hypertensive pregnancy disorders. J Clin Hypertens 2007; 9: 560-566.
4. Joydev M, Subroto LS, Geeta BB. Current concepts in PIH. In: Current obstetrics and gynecology. Geeta GM (editor). 1st edition. New Delhi: Jaypee Publications, 2007; 93-100.
5. Hans PS, Thorsten F, Karsten H, Helmut G, Ronal ES. Preeclampsia: a state of sympathetic overactivity. New Eng J Med 1996; 335: 1480-1485.
6. Visser W, Wallenburg HC. Central hemodynamic observation in untreated preeclamptic patients. Hypertension 1991; 17: 1072-1077.
7. Ganong WF. Cardiovascular regulatory mechanisms. In: Review of Medical Physiology. 22nd ed. San Fransisco: McGraw Hill, 2005; 597-602.
8. Matsuo H, Inoue K, Hapsari ED, Kitano K, Shiotani H. Changes of autonomic nervous activity during pregnancy and its modulation of labor assessed by spectral heart rate variability analysis. Clin Exp Obst Gyn 2007; 34: 73-79.
9. Blake MJ, Martin A, Manktelow BN, et al. Changes in baroreceptor sensitivity for heart rate during normotensive pregnancy and the puerperium. Clin Sci (Lond) 2000; 98: 259-268.
10. Alberto M. Heart rate variability: from bench to bedside. Europ J Int Med 2005; 16: 12-60.
11. Sasika R, Wolf H, Montfrans GA, Karemaker JM. Serial assessment of cardiovascular control shows early signs of developing preeclampsia. J Hypertens 2004; 22: 369-376.
12. Ekholm EM, Tahvanainen KU, Metsälä T. Heart rate and blood pressure variabilities are increased in pregnancy-induced hypertension. Am J Obst Gyneccol 1997; 177: 1208-1202.
13. Ursem NT, Clark EB, Keller BB, Hop WC, Wladimiroff JW. Do heart rate and velocity variability derived from umbilical artery velocity waveforms change prior toclinical pregnancyinduced hypertension? Ultrasound Obst Gynecol 1999; 14: 244-249.
14. Walther T, Wessel N, Malberg H, Voss A, Stephen H, Faber R. A combined technique for prediciting pre-eclampsia: concurrent measurement of uterine perfusion and analysis of heart rate and blood pressure variability. J Hypertens 2006; 24: 747-750.
15. Shyma P, Pal GK, Habeebullah S, Shyjus P, Pravati Pal. Decreased total power of HRV with increased LF power in early part of pregnancy predicts development PIH in Indian population. Biomedicine 2008; 28: 104-107.
16. Pal GK, Shyma P, Habeebullah S, Shyjus P and Pravati Pal. Spectral analysis of heart rate variability for early prediction of pregnancyinduced hypertension. Clin Experiment Hypertens 2009; 31: 330-341.
17. Duckitt K, Harrington D. Risk factors for preeclampsia at antenatal booking: systemic review of controlled studies. Br Med J 2005; 330: 565-571.
18. Task force of the European Society of Cardiology and the North American society of Pacing and Electrophysiology. Heart rate variability. Standard and measurement, physiological interpretation and clinical use. Circulation 1996; 93: 1043-1065.
19. Steck T, Würfel W. The role of immunologic factors in the etiology of pregnancy-induced hypertension. Zentralbl Gynakol 1995; 117: 3-10.
20. Chen G, Wilson R, Cumming G, Walker JJ, McKillop JH. Immunological changes in pregnancy-induced hypertension. Eur J Obstet Gynecol Reprod Biol 1994; 53: 21-25.
21. Marinoni E, De Pità O, Bresadola M, Ippoliti F, Di Iorio R. Cell-mediated immunity imbalance in pregnancy-induced hypertension. Gynecol Obstet Invest 1994; 38: 236-240.
22. Kaaja RJ, Pöyhönen-Alho MK. Insulin resistance and sympathetic overactivity in women. J Hypertens. 2006; 24: 131-141.
23. Garovic VD, Hayman SR. Hypertension in pregnancy: an emerging risk factor for cardiovascular disease. Nat Clin Pract Nephrol 2007; 3: 613-622.