Heart rate variability in hypertensive pregnancy disorders: A systematic review

被引：33

作者：

Moors, S. ^{[1
,2
,3
]}

Staaks, K. J. J. ^{[1
]}

Westerhuis, M. E. M. H. ^{[2
,4
]}

Dekker, L. R. C. ^{[2
,5
,6
]}

Verdurmen, K. M. J. ^{[1
]}

Oei, S. G. ^{[1
,2
,3
]}

van Laar, J. O. E. H. ^{[1
,2
,3
]}

机构：

[1] Maxima Med Ctr, Dept Obstet & Gynecol, Veldhoven, Netherlands

[2] Eindhoven MedTech Innovat Ctr & MTIC, Eindhoven, Netherlands

[3] Eindhoven Univ Technol, Dept Elect Engn, Eindhoven, Netherlands

[4] Catharina Hosp, Dept Obstet & Gynecol, Eindhoven, Netherlands

[5] Catharina Hosp, Dept Cardiol, Eindhoven, Netherlands

[6] Eindhoven Univ Technol, Dept Biomed Engn, Eindhoven, Netherlands

来源：

PREGNANCY HYPERTENSION-AN INTERNATIONAL JOURNAL OF WOMENS CARDIOVASCULAR HEALTH | 2020年 / 20卷

关键词：

Hypertensive pregnancy disorders; Preeclampsia; Gestational hypertension; Heart rate variability; Autonomic nervous system; AUTONOMIC CARDIOVASCULAR CONTROL; BLOOD-PRESSURE VARIABILITY; RISK-FACTORS; PREECLAMPTIC PREGNANCIES; FETAL ELECTROCARDIOGRAM; BAROREFLEX SENSITIVITY; SYMPATHETIC ACTIVITY; SPECTRAL-ANALYSIS; DISEASE; IMBALANCE;

D O I：

10.1016/j.preghy.2020.03.003

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Hypertensive pregnancy disorders (HPD) are associated with dysfunction of the autonomic nervous system. Cardiac autonomic functions can be assessed by heart rate variability (HRV) measurements. Objective: To study whether HRV detects differences in the function of the autonomic nervous system between pregnant women with HPD compared to normotensive pregnant women and between women with a history of a pregnancy complicated by HPD compared to women with a history of an uncomplicated pregnancy. Methods: A systematic search was performed in Medline, EMBASE, and CENTRAL to identify studies comparing HRV between pregnant women with HPD or women with a history of HPD to women with (a history of) normotensive pregnancies. Results: The search identified 523 articles of which 24 were included in this review, including 850 women with (a history of) HPD and 1205 normotensive controls. The included studies showed a large heterogenicity. A decrease in overall HRV was found in preeclampsia (PE), compared to normotensive pregnant controls. A trend is seen towards increased low frequency/high frequency-ratio in women with PE compared to normotensive pregnant controls. Conclusion: Our systematic review supports the hypothesis a sympathetic overdrive is found in HPD which is associated with a parasympathetic withdrawal. However, the included studies in our review showed a large diversity in the methods applied and their results.

引用

页码：56 / 68

页数：13

共 74 条

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