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Blunted Overnight Blood Pressure Dipping in Second Trimester; A Strong Predictor of Gestational Hypertension and Preeclampsia

Overview of attention for article published in Current Hypertension Reviews, January 2019
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Title
Blunted Overnight Blood Pressure Dipping in Second Trimester; A Strong Predictor of Gestational Hypertension and Preeclampsia
Published in
Current Hypertension Reviews, January 2019
DOI 10.2174/1573402114666180924143801
Pubmed ID
Authors

Abo Taleb Saremi, Mohammad-Ali Shafiee, Mahdi Montazeri, Negin Rashidi, Mohammad Montazeri

Abstract

Preeclampsia is a global burden with 10 million incidence annually and 210 daily deaths worldwide. Diagnosis is mainly based on the features following full presentation. This study explored whether early pregnancy circadian changes of ambulatory blood pressure monitoring (ABPM) could predict preeclampsia and hypertension. In a prospective study, 294 pregnant women who were referred to Sarem Women's Hospital, Iran were recruited. Systolic, diastolic and mean arterial pressures (MAP) were recorded (diurnally and nocturnally) in each trimester. Dipping was defined as a minimum 10% decrease in blood pressure. Of the 251 women who completed the study, 25 percent (n=63) experienced blunted MAP dipping during sleep phases in the second trimester. Eighty nine percent (n=56) experienced hypertensive disorder in the third trimester, one third of which experienced preeclampsia. Of the women with normal MAP dipping (n=188), 5 percent (n=10) had gestational hypertension and 1 percent (n=2) became preeclamptic. (P<0.0001) Conclusion: This study clearly demonstrated blunted blood pressure dipping overnight during the second trimester is a strong predictor of forthcoming pregnancy induced hypertension and preeclampsia. A scoring system was developed to predict hypertensive disorder and it was significantly correlated with preeclampsia occurrence.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 31 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 31 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 5 16%
Student > Ph. D. Student 5 16%
Researcher 4 13%
Student > Postgraduate 3 10%
Student > Master 3 10%
Other 4 13%
Unknown 7 23%
Readers by discipline Count As %
Medicine and Dentistry 10 32%
Nursing and Health Professions 6 19%
Psychology 1 3%
Immunology and Microbiology 1 3%
Decision Sciences 1 3%
Other 3 10%
Unknown 9 29%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 September 2018.
All research outputs
#12,019,705
of 13,555,083 outputs
Outputs from Current Hypertension Reviews
#38
of 49 outputs
Outputs of similar age
#228,337
of 264,839 outputs
Outputs of similar age from Current Hypertension Reviews
#1
of 1 outputs
Altmetric has tracked 13,555,083 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 49 research outputs from this source. They receive a mean Attention Score of 1.9. This one scored the same or higher as 11 of them.
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