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[Preoperative preparation of pregnant with hypertension according to state of the autonomic nervous system and circulatory system].
Anesteziol Reanimatol. 2010 Nov-DecAR

Abstract

Pregnancy in patients with hypertension is considered in the spotlight of creation of general adaptation syndrome. According to evidence, when a stable hypertension in pregnant patients with hyper- and eukinetic types of haemodynamics is observed, the response of circulatory system and body fluid compartments has a moderate difference with normal. In pregnant patients with hypertension and a hypokinetic type of haemodynamics and pregnant patients with gestosis developed against the background of eukinetic type of hypertension, a physiological decrease of total peripheral resistance (TPR) is absent, which contributes into interstitial hyperhydration. In pregnant patients with gestosis developed against the background of hypokinetic type of haemodynamics, a pathological rise of TPR occurs, which is followed with a more significant interstitial hyperhydration. A differentiated preoperative preparation of pregnant with hypertension with the calcium antagonists and hydroxyethyl starch solution (130/0,4) favours the conversion of hyper- and hypokinetic types of haemodynamics to eukinetic, forms a physiological type of sympathicotonia and improves the water-salt metabolism.

Authors

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Pub Type(s)

English Abstract
Journal Article
Randomized Controlled Trial

Language

rus

PubMed ID

21400790

Citation

Gur'ianov, V A., et al. "[Preoperative Preparation of Pregnant With Hypertension According to State of the Autonomic Nervous System and Circulatory System]." Anesteziologiia I Reanimatologiia, 2010, pp. 7-12.
Gur'ianov VA, Tolmachev GN, Volodin AV, et al. [Preoperative preparation of pregnant with hypertension according to state of the autonomic nervous system and circulatory system]. Anesteziol Reanimatol. 2010.
Gur'ianov, V. A., Tolmachev, G. N., Volodin, A. V., Marichik, N. V., Nemirovskiĭ, V. B., Pivovarova, G. M., & Shepetovskaia, N. L. (2010). [Preoperative preparation of pregnant with hypertension according to state of the autonomic nervous system and circulatory system]. Anesteziologiia I Reanimatologiia, (6), 7-12.
Gur'ianov VA, et al. [Preoperative Preparation of Pregnant With Hypertension According to State of the Autonomic Nervous System and Circulatory System]. Anesteziol Reanimatol. 2010 Nov-Dec;(6)7-12. PubMed PMID: 21400790.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Preoperative preparation of pregnant with hypertension according to state of the autonomic nervous system and circulatory system]. AU - Gur'ianov,V A, AU - Tolmachev,G N, AU - Volodin,A V, AU - Marichik,N V, AU - Nemirovskiĭ,V B, AU - Pivovarova,G M, AU - Shepetovskaia,N L, PY - 2011/3/16/entrez PY - 2011/3/16/pubmed PY - 2011/4/9/medline SP - 7 EP - 12 JF - Anesteziologiia i reanimatologiia JO - Anesteziol Reanimatol IS - 6 N2 - Pregnancy in patients with hypertension is considered in the spotlight of creation of general adaptation syndrome. According to evidence, when a stable hypertension in pregnant patients with hyper- and eukinetic types of haemodynamics is observed, the response of circulatory system and body fluid compartments has a moderate difference with normal. In pregnant patients with hypertension and a hypokinetic type of haemodynamics and pregnant patients with gestosis developed against the background of eukinetic type of hypertension, a physiological decrease of total peripheral resistance (TPR) is absent, which contributes into interstitial hyperhydration. In pregnant patients with gestosis developed against the background of hypokinetic type of haemodynamics, a pathological rise of TPR occurs, which is followed with a more significant interstitial hyperhydration. A differentiated preoperative preparation of pregnant with hypertension with the calcium antagonists and hydroxyethyl starch solution (130/0,4) favours the conversion of hyper- and hypokinetic types of haemodynamics to eukinetic, forms a physiological type of sympathicotonia and improves the water-salt metabolism. SN - 0201-7563 UR - https://www.unboundmedicine.com/medline/citation/21400790/[Preoperative_preparation_of_pregnant_with_hypertension_according_to_state_of_the_autonomic_nervous_system_and_circulatory_system]_ L2 - https://medlineplus.gov/highbloodpressure.html DB - PRIME DP - Unbound Medicine ER -