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Acta Facultatis Medicae Naissensis
2016, vol. 33, br. 2, str. 79-90
jezik rada: engleski
vrsta rada: pregledni članak
objavljeno: 25/06/2016
doi: 10.1515/afmnai-2016-0009
Modeli za predviđanje rizika od hipertenzivnih poremećaja u trudnoći - uloga 12-kanalne elektrokardiografije
aDivision of Cardiology, University of Perugia School of Medicine, Perugia, Italy
bDivision of Gynecology and Obstetrics, Hospital San G. Battista, Foligno, Italy

e-adresa: giuseppe.ambrosio@ospedale.perugia.it

Sažetak

Hipertenzivni poremećaji predstavljaju najčešće medicinske komplikacije u toku trudnoće i javljaju se u 6% do 8% gestacija. Mogu dovesti do ozbiljnih poremećaja kod majke i fetusa. Nekoliko opservacionih studija je pokazalo da se težina, sistolni i dijastolni pritisak, izmereni na pregledu pre 16. gestacijske nedelje, mogu koristiti za određivanje rizika od razvoja hipertenzivnih poremećaja u toku trudnoće. Međutim, nedavno su za potencijalne prediktore hipertenzivnih poremećaja predloženi neki drugi markeri. U ovom kontekstu, izvesne elektrokardiografske promene su se pokazale kao veoma značajne u detaljnijem određivanju rizika. Naročito su promene tokom trudnoće u QT intervalu i morfologiji P talasa poboljšale tačnost multivarijabilnih modela predviđanja hipertenzivnih poremećaja. Na primer, izgleda da je prisustvo abnormalnosti leve komore na EKG-u povezano sa značajnim povećanjem rizika od razvoja hipertenzivnih poremećaja, i kada su uključene u multivarijabilni model, uzimajući u obzir neke osobine majke, mogu da naprave razliku između žena kod kojih će se razviti hipetenzivni poremećaji i onih koje će ostati normotenzivne. Ovaj model za predviđanje je takođe mogao da identifikuje trudnice kod kojih je postojao povećani rizik od komplikacija u fetusu i neonatusu. Cilj ovog preglednog rada bio je da prikaže dostupne podatke koji pružaju dokaze da specifični EKG obrasci koji se beleže u ranom toku trudnoće mogu da imaju klinički značaj za predviđanje hipertenzivnih poremećaja.

Ključne reči

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