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Clinical Values of Serum Platelet-Activating Factor in Hypertensive Disorders Complicating Pregnancy
Shasha Liu1, Qianyu Lan1, Weiling Li1
1Department of General Internal Medicine, the Fourth Hospital of Shijiazhuang, Shijiazhuang, China.
Insights
Serum platelet-activating factor (PAF) can predict hypertensive disorders complicating pregnancy (HDCP) and poor outcomes. Elevated PAF levels in early pregnancy and at diagnosis indicate increased risk for HDCP and adverse results.
Area of Science:
- Reproductive Medicine
- Biochemistry
Background:
- Serum platelet-activating factor (PAF) is linked to gestational hypertension.
- The predictive role of early pregnancy serum PAF for hypertensive disorders complicating pregnancy (HDCP) and their outcomes requires clarification.
Purpose of the Study:
- To investigate the predictive value of serum PAF in early pregnancy for the occurrence and outcomes of HDCP.
- To assess the correlation between serum PAF levels and blood pressure in HDCP patients.
Main Methods:
- Serum PAF levels were quantified using enzyme-linked immunosorbent assay.
- Receiver operating characteristic (ROC) curve analysis evaluated the predictive accuracy of serum PAF for HDCP occurrence and outcomes.
- Spearman analysis assessed the correlation between serum PAF and blood pressure.
Main Results:
- Serum PAF levels were significantly higher in HDCP patients compared to normal pregnancies.
- Elevated serum PAF levels at early pregnancy and diagnosis correlated with increased HDCP severity and poor outcomes.
- Serum PAF demonstrated predictive capability for both HDCP occurrence and adverse outcomes.
Conclusions:
- Serum PAF is a valuable predictor for the occurrence and outcomes of HDCP.
- Measurements of serum PAF in early pregnancy and at diagnosis can effectively identify patients at risk for HDCP and poor outcomes.
Introduction:
Serum platelet-activating factor (PAF) was proven to be associated with gestational hypertension. However, the predictive value of serum PAF at early pregnancy for the occurrence and outcomes of hypertensive disorders complicating pregnancy (HDCP) remained unclear.
Methods:
The demographic and clinical characteristics of patients were compared among the different subgroups. The serum PAF level was determined using an enzyme-linked immunosorbent assay. The predictive value of serum PAF for the occurrence and outcomes of HDCP was evaluated using receiver operating characteristic curve analysis. The correlation of serum PAF with blood pressure was assessed using Spearman analysis.
Results:
Both systolic blood pressure and diastolic blood pressure were significantly higher in HDCP patients, as well as the serum levels of TNF-α and IL-1β at diagnosis/enrollment, while serum levels of IL-10 showed the opposite trend. Serum PAF levels were significantly higher in patients with HDCP compared to normal pregnant women. Furthermore, serum PAF levels were higher in HDCP patients with mild preeclampsia compared to those with gestational hypertension and even more elevated in HDCP patients with severe preeclampsia at the early pregnancy stage and at diagnosis. In HDCP patients, increased serum PAF levels at early pregnancy and at diagnosis were associated with poor outcomes. Additionally, serum PAF levels could predict the occurrence of HDCP and poor outcomes.
Conclusion:
Serum PAF from HDCP patients at both the early pregnancy and diagnosis stages could effectively predict the occurrence and outcome of HDCP.
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