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[Hemodynamics, the autonomic nervous system and water metabolism as criteria for developing the general adaptation syndrome in pregnant women].
Anesteziol Reanimatol. 2007 Nov-DecAR

Abstract

By taking into account the fact that the autonomic nervous and cardiovascular systems (ANS and CVS) are the major links of development of the general adaptation syndrome in pregnancy, which are affected by all the processes involved in the development of the syndrome, the author analyzed the state of these systems in healthy non-pregnant and pregnant women (HNPW and HPW) and in pregnant women with gestosis. HNPW were found to have already a prerequisite for impairing pregnancy adaptive processes as ANS and CVS dysfunction. In HPW, these impairments were more pronounced. In the pregnant women, impaired adaptive processes manifested themselves as excess sympathicotonia in 72% and parasympathicotonia in 23% of cases despite the treatment performed, which was accompanied by hypokinetic hemodynamics in 53 and 50%, respectively. In hyper- and eukinetic hemodynamics, there were no physiologically required decreases in total peripheral vascular resistance while in hypokinetic hemodynamics, there was its pathological increase. Such disorders enhance the significance of abdominal compartment syndrome, aortocaval compression, ischemia-reperfusion, hydrodynamic and membranogenic (capillary leakage) factors of impaired water metabolism, which contributes to adaptation derangement. Based on the findings, the authors have created a developmental modulation algorithm for the general adaptation syndrome by completed pregnancy and surgical delivery.

Authors

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Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

rus

PubMed ID

18326250

Citation

Gur'ianov, V A., et al. "[Hemodynamics, the Autonomic Nervous System and Water Metabolism as Criteria for Developing the General Adaptation Syndrome in Pregnant Women]." Anesteziologiia I Reanimatologiia, 2007, pp. 8-13.
Gur'ianov VA, Shepetovskaia NL, Pivovarova GM, et al. [Hemodynamics, the autonomic nervous system and water metabolism as criteria for developing the general adaptation syndrome in pregnant women]. Anesteziol Reanimatol. 2007.
Gur'ianov, V. A., Shepetovskaia, N. L., Pivovarova, G. M., Tolmachev, G. N., & Volodin, A. V. (2007). [Hemodynamics, the autonomic nervous system and water metabolism as criteria for developing the general adaptation syndrome in pregnant women]. Anesteziologiia I Reanimatologiia, (6), 8-13.
Gur'ianov VA, et al. [Hemodynamics, the Autonomic Nervous System and Water Metabolism as Criteria for Developing the General Adaptation Syndrome in Pregnant Women]. Anesteziol Reanimatol. 2007 Nov-Dec;(6)8-13. PubMed PMID: 18326250.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Hemodynamics, the autonomic nervous system and water metabolism as criteria for developing the general adaptation syndrome in pregnant women]. AU - Gur'ianov,V A, AU - Shepetovskaia,N L, AU - Pivovarova,G M, AU - Tolmachev,G N, AU - Volodin,A V, PY - 2008/3/11/pubmed PY - 2008/4/2/medline PY - 2008/3/11/entrez SP - 8 EP - 13 JF - Anesteziologiia i reanimatologiia JO - Anesteziol Reanimatol IS - 6 N2 - By taking into account the fact that the autonomic nervous and cardiovascular systems (ANS and CVS) are the major links of development of the general adaptation syndrome in pregnancy, which are affected by all the processes involved in the development of the syndrome, the author analyzed the state of these systems in healthy non-pregnant and pregnant women (HNPW and HPW) and in pregnant women with gestosis. HNPW were found to have already a prerequisite for impairing pregnancy adaptive processes as ANS and CVS dysfunction. In HPW, these impairments were more pronounced. In the pregnant women, impaired adaptive processes manifested themselves as excess sympathicotonia in 72% and parasympathicotonia in 23% of cases despite the treatment performed, which was accompanied by hypokinetic hemodynamics in 53 and 50%, respectively. In hyper- and eukinetic hemodynamics, there were no physiologically required decreases in total peripheral vascular resistance while in hypokinetic hemodynamics, there was its pathological increase. Such disorders enhance the significance of abdominal compartment syndrome, aortocaval compression, ischemia-reperfusion, hydrodynamic and membranogenic (capillary leakage) factors of impaired water metabolism, which contributes to adaptation derangement. Based on the findings, the authors have created a developmental modulation algorithm for the general adaptation syndrome by completed pregnancy and surgical delivery. SN - 0201-7563 UR - https://www.unboundmedicine.com/medline/citation/18326250/[Hemodynamics_the_autonomic_nervous_system_and_water_metabolism_as_criteria_for_developing_the_general_adaptation_syndrome_in_pregnant_women]_ DB - PRIME DP - Unbound Medicine ER -