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[Cardiovascular changes during ethanol-tocolysis]

W Lauckner, U Retzke, R Schwarz

    Zentralblatt Fur Gynakologie
    |January 1, 1978
    PubMed
    Summary
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    Ethanol and fructose infusions in late pregnancy caused favorable hemodynamic changes, including increased cardiac output. However, ethanol should be used cautiously for short-term tocolysis due to potential risks.

    Area of Science:

    • Obstetrics and Gynecology
    • Cardiovascular Physiology
    • Pharmacology

    Context:

    • Investigating the cardiovascular impact of intravenous ethanol-fructose solutions in late pregnancy.
    • Utilizing quantitative sphygmometry to assess hemodynamic parameters.
    • Focusing on healthy women in the late stages of gestation.

    Purpose:

    • To evaluate the cardiovascular effects of a 5% ethanol-10% fructose solution infusion.
    • To determine changes in arterial pressure, cardiac output, and peripheral resistance.
    • To assess the safety and efficacy of ethanol for short-term tocolysis.

    Summary:

    • Intravenous infusion of a 5% ethanol-10% fructose solution in 10 healthy late-pregnant women showed insignificant changes in arterial pressure.
    • Significant increases in stroke volume, cardiac output, and cardiac work/power were observed.

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  • A notable decrease in total peripheral resistance and a constant heart rate were recorded.
  • Impact:

    • The study highlights favorable hemodynamic alterations during ethanol-fructose infusion in late pregnancy.
    • Findings suggest ethanol may have a role in short-term tocolysis, but caution is advised.
    • Results contribute to understanding the cardiovascular physiology of pregnant women under specific infusions.