Hypertension in Pregnancy (Oct 2018)

Brachial artery stiffening in healthy primigravidas is associated with weight gain and increased cardiac output

  • Nancy Anderson Niemczyk,
  • Janet M. Catov,
  • Mansi M. Desai,
  • Candace K. McClure,
  • James M. Roberts,
  • Akira Sekikawa,
  • Ping Guo Tepper,
  • Emma Barinas-Mitchell

DOI
https://doi.org/10.1080/10641955.2018.1524479
Journal volume & issue
Vol. 37, no. 4
pp. 204 – 211

Abstract

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Objective: To assess brachial artery distensibility and associated factors in healthy primigravidas. Methods: We assessed brachial artery distensibility using the DynaPulse 5,000A in 37 women each trimester, and 6–8 weeks and 1–5 years postpartum. Associations with physical and cardiometabolic measures were considered. Results: Mean (SE) brachial artery distensibility (%Δ/mmHg) decreased (stiffened) from 7.50 (0.20) 12–14 weeks to 6.93 (0.22) 36–38 weeks (p < .01) and returned to baseline 7.52 (0.44) at 2.7 years postpartum. Weight gain and greater cardiac output were significantly related to greater stiffness. Conclusion: Increased weight and cardiac output of pregnancy were associated with brachial artery stiffening.

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