高风险怀孕中的母体血管适应:早期戒烟对血液动力学和内皮功能的影响
Kaltrina Kutllovci Hasani1, Mila Cervar-Zivkovic1, Ursula Hiden1
1Department of Obstetrics and Gynaecology, Medical University of Graz, Auenbruggerplatz 14, 8036 Graz, Austria.
International journal of molecular sciences
|June 26, 2025
概括
在高风险怀孕中,前吸烟者和非吸烟者的血管变化发生得类似. 早期戒烟并没有改变这些与怀孕相关的血管适应.
科学领域:
- 产科和妇科 产科和妇科
- 心血管生理学心血管生理学
- 生殖健康 生殖健康
背景情况:
- 心血管适应对于健康的怀孕至关重要.
- 孕前 (PE) 涉及内皮功能障碍,可能受到吸烟的影响.
- 早期戒烟对PE风险和血管健康的影响尚不清楚.
研究的目的:
- 为了评估高风险怀孕的血管变化.
- 研究早期戒烟对这些血管适应的影响.
主要方法:
- 在第一季度对110名妇女进行前性队列研究.
- 评估了43名高风险女性 (18名前吸烟者,25名非吸烟者).
- 测量了血管参数:cfPWV,ADMA,MAP,BP,HR,视网膜血管口径 (CRAE,CRVE). 这些参数包括:
主要成果:
- 在整个怀孕期间,ADMA,MAP,SBP,DBP和HR增加;在怀孕晚期,CRAE和CRVE缩小.
- 带 - 骨脉冲波速度 (cfPWV) 保持稳定.
- 在前吸烟者和终身非吸烟者之间没有观察到血管变化的显著差异.
结论:
- 高风险怀孕在妊娠期间表现出明显的血管变化.
- 早期戒烟似乎没有改变血管形状,而不是这个队列中的非吸烟者.
- 需要对更大的队列进行进一步的研究来证实这些发现.
相关概念视频
Development of Blood Vessels
810
The development of the vascular system in a fetus is a complex and intricate process that begins as early as 15 to 16 days post-conception. This process starts outside the embryo, specifically in the mesoderm of the yolk sac, chorion, and connecting stalk. Approximately two days later, the formation of blood vessels occurs within the embryo itself.
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
810
Regulation of Angiogenesis and Blood Supply
2.7K
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl...
2.7K
Mitral Valve Prolapse III: Nursing Management
41
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
41
Fetal Circulation
1.4K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
1.4K


