Can 24-hour ambulatory blood pressure measurement predict the development of hypertension in primigravidae?
Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy p...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Higgins, John R. [verfasserIn] Walshe, Joseph J. [verfasserIn] Halligan, Aidan [verfasserIn] |
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| Format: |
E-Artikel |
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| Erschienen: |
Oxford, UK: Blackwell Publishing Ltd ; 1997 |
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| Umfang: |
Online-Ressource |
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| Reproduktion: |
2005 ; Blackwell Publishing Journal Backfiles 1879-2005 |
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| Übergeordnetes Werk: |
In: BJOG - Oxford : Wiley-Blackwell, 1902, 104(1997), 3, Seite 0 |
| Übergeordnetes Werk: |
volume:104 ; year:1997 ; number:3 ; pages:0 |
| Links: |
|---|
| DOI / URN: |
10.1111/j.1471-0528.1997.tb11468.x |
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NLEJ242092926 |
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| 245 | 1 | 0 | |a Can 24-hour ambulatory blood pressure measurement predict the development of hypertension in primigravidae? |
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| 520 | |a Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. | ||
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| 700 | 1 | |a Conroy, Ronan |4 oth | |
| 700 | 1 | |a Darling, Michael R. N. |4 oth | |
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10.1111/j.1471-0528.1997.tb11468.x doi (DE-627)NLEJ242092926 DE-627 ger DE-627 rakwb Higgins, John R. verfasserin aut Can 24-hour ambulatory blood pressure measurement predict the development of hypertension in primigravidae? Oxford, UK Blackwell Publishing Ltd 1997 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| Walshe, Joseph J. verfasserin aut Halligan, Aidan verfasserin aut O'Brien, Eoin oth Conroy, Ronan oth Darling, Michael R. N. oth In BJOG Oxford : Wiley-Blackwell, 1902 104(1997), 3, Seite 0 Online-Ressource (DE-627)NLEJ243927851 (DE-600)2036469-6 1471-0528 nnns volume:104 year:1997 number:3 pages:0 http://dx.doi.org/10.1111/j.1471-0528.1997.tb11468.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 104 1997 3 0 |
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10.1111/j.1471-0528.1997.tb11468.x doi (DE-627)NLEJ242092926 DE-627 ger DE-627 rakwb Higgins, John R. verfasserin aut Can 24-hour ambulatory blood pressure measurement predict the development of hypertension in primigravidae? Oxford, UK Blackwell Publishing Ltd 1997 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| Walshe, Joseph J. verfasserin aut Halligan, Aidan verfasserin aut O'Brien, Eoin oth Conroy, Ronan oth Darling, Michael R. N. oth In BJOG Oxford : Wiley-Blackwell, 1902 104(1997), 3, Seite 0 Online-Ressource (DE-627)NLEJ243927851 (DE-600)2036469-6 1471-0528 nnns volume:104 year:1997 number:3 pages:0 http://dx.doi.org/10.1111/j.1471-0528.1997.tb11468.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 104 1997 3 0 |
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10.1111/j.1471-0528.1997.tb11468.x doi (DE-627)NLEJ242092926 DE-627 ger DE-627 rakwb Higgins, John R. verfasserin aut Can 24-hour ambulatory blood pressure measurement predict the development of hypertension in primigravidae? Oxford, UK Blackwell Publishing Ltd 1997 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| Walshe, Joseph J. verfasserin aut Halligan, Aidan verfasserin aut O'Brien, Eoin oth Conroy, Ronan oth Darling, Michael R. N. oth In BJOG Oxford : Wiley-Blackwell, 1902 104(1997), 3, Seite 0 Online-Ressource (DE-627)NLEJ243927851 (DE-600)2036469-6 1471-0528 nnns volume:104 year:1997 number:3 pages:0 http://dx.doi.org/10.1111/j.1471-0528.1997.tb11468.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 104 1997 3 0 |
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10.1111/j.1471-0528.1997.tb11468.x doi (DE-627)NLEJ242092926 DE-627 ger DE-627 rakwb Higgins, John R. verfasserin aut Can 24-hour ambulatory blood pressure measurement predict the development of hypertension in primigravidae? Oxford, UK Blackwell Publishing Ltd 1997 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| Walshe, Joseph J. verfasserin aut Halligan, Aidan verfasserin aut O'Brien, Eoin oth Conroy, Ronan oth Darling, Michael R. N. oth In BJOG Oxford : Wiley-Blackwell, 1902 104(1997), 3, Seite 0 Online-Ressource (DE-627)NLEJ243927851 (DE-600)2036469-6 1471-0528 nnns volume:104 year:1997 number:3 pages:0 http://dx.doi.org/10.1111/j.1471-0528.1997.tb11468.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 104 1997 3 0 |
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10.1111/j.1471-0528.1997.tb11468.x doi (DE-627)NLEJ242092926 DE-627 ger DE-627 rakwb Higgins, John R. verfasserin aut Can 24-hour ambulatory blood pressure measurement predict the development of hypertension in primigravidae? Oxford, UK Blackwell Publishing Ltd 1997 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. 2005 Blackwell Publishing Journal Backfiles 1879-2005 |2005|||||||||| Walshe, Joseph J. verfasserin aut Halligan, Aidan verfasserin aut O'Brien, Eoin oth Conroy, Ronan oth Darling, Michael R. N. oth In BJOG Oxford : Wiley-Blackwell, 1902 104(1997), 3, Seite 0 Online-Ressource (DE-627)NLEJ243927851 (DE-600)2036469-6 1471-0528 nnns volume:104 year:1997 number:3 pages:0 http://dx.doi.org/10.1111/j.1471-0528.1997.tb11468.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 104 1997 3 0 |
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Can 24-hour ambulatory blood pressure measurement predict the development of hypertension in primigravidae? |
| abstract |
Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. |
| abstractGer |
Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. |
| abstract_unstemmed |
Objective To assess the role of 24-hour ambulatory blood pressure measurement in the mid-second trimester as a predictive test for the development of hypertension in pregnancy.Design Prospective intervention.Setting The Rotunda Hospital, Dublin.Participants One thousand one hundred and two healthy primigravid women.Intervention 24-hour ambulatory blood pressure measurement at 18 to 24 weeks of gestation.Main outcome measures The development of pre-eclampsia or gestational hypertension.Results A total of 1048 women had sufficient readings to be included in the final analysis. Of these, 23 (2.2%) developed pre-eclampsia, 64 (6.1%) developed gestational hypertension and 961 (91.7%) remained normotensive. Significantly higher ambulatory blood pressures were recorded in both the pre-eclamptic and gestational hypertensive group compared with the normotensive group. In addition, the gestational hypertensive group had significantly higher clinically measured blood pressure compared with the normotensive group. There were no differences between the pre-eclamptic and the gestational hypertensive group for any of the blood pressure parameters analysed. The best overall predictor for pre-eclampsia was 24-hour mean diastolic pressure which using a cutoff level of 71 mmHg gave a test with a sensitivity of only 22% and a positive predictive value of 15%.Conclusion Because the absolute differences are small and the overlap between the hypertensive and normotensive groups large, ambulatory blood pressure measurement, in a healthy primigravid population, between 18 and 24 weeks of gestation is not a useful predictor of hypertension. |
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Walshe, Joseph J. Halligan, Aidan O'Brien, Eoin Conroy, Ronan Darling, Michael R. N. |
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