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Change of hs-CRP, sVCAM-1, NT-proBNP levels in patients with pregnancy-induced hypertension after therapy with magnesium sulfate and nifedipine.
Asian Pac J Trop Med. 2013 Nov; 6(11):897-901.AP

Abstract

OBJECTIVE

To investigate the change of the hs-CRP, sVCAM-1, NT-proBNP levels of the patients with pregnancy-induced hypertension (PIH) syndrome.

METHODS

A total of 200 patients with PIH were divided into mild, moderate and severe group, and 50 healthy pregnancy patients served as the control group. The serum sVCAM-1 levels were detected by enzyme-linked immunosorbent assay, hs-CRP were detected by immunity transmission turbidity, and NT-proBNP levels were determined by the colloidal gold method. Patients were treated with magnesium sulfate and nifedipine and the contrastive analysis was performed before and after treatment. And the pathological changes in placental of PIH patients were detected by hematoxylin-eosin staining at the same time.

RESULTS

The hs-CRP, sVCAM-1, NT-proBNP levels of patients in the mild, moderate and severe PIH group were significantly higher than that in the control group (P<0.05). The hs-CRP, sVCAM-1, NT-proBNP levels in the severe group were significantly higher than the mild group and the moderate group, the difference was statistically significant (P<0.05). The hs-CRP, sVCAM-1, NT-proBNP of the moderate group were significantly higher than the mild group (P<0.05). There was a positive correlation between hs-CRP, sVCAM-1, NT-proBNP expression levels and the degree of the PIH. The expression of hs-CRP, sVCAM-1, NT-proBNP levels of the moderate and the severe group were significantly decreased (P<0.05). The number of placental villi and interstitial blood vessel in the moderate and severe PIH group were significantly less than the control group (P<0.05).

CONCLUSIONS

The increased levels of serum hs-CRP, sVCAM-1, NT-proBNP may be involved in the process of vascular endothelial cell injury of the PIH, and the hs-CRP, sVCAM-1, NT-proBNP can be used as the auxiliary index for diagnosis of PIH and determination of PIH severity.

Authors+Show Affiliations

Affiliated Hospital of Binzhou Medical College, Binzhou 256600, Shandong Province, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24083587

Citation

Wang, Li, et al. "Change of hs-CRP, sVCAM-1, NT-proBNP Levels in Patients With Pregnancy-induced Hypertension After Therapy With Magnesium Sulfate and Nifedipine." Asian Pacific Journal of Tropical Medicine, vol. 6, no. 11, 2013, pp. 897-901.
Wang L, Liu ZQ, Huo YQ, et al. Change of hs-CRP, sVCAM-1, NT-proBNP levels in patients with pregnancy-induced hypertension after therapy with magnesium sulfate and nifedipine. Asian Pac J Trop Med. 2013;6(11):897-901.
Wang, L., Liu, Z. Q., Huo, Y. Q., Yao, L. J., Wei, X. G., & Wang, Y. F. (2013). Change of hs-CRP, sVCAM-1, NT-proBNP levels in patients with pregnancy-induced hypertension after therapy with magnesium sulfate and nifedipine. Asian Pacific Journal of Tropical Medicine, 6(11), 897-901. https://doi.org/10.1016/S1995-7645(13)60160-1
Wang L, et al. Change of hs-CRP, sVCAM-1, NT-proBNP Levels in Patients With Pregnancy-induced Hypertension After Therapy With Magnesium Sulfate and Nifedipine. Asian Pac J Trop Med. 2013;6(11):897-901. PubMed PMID: 24083587.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Change of hs-CRP, sVCAM-1, NT-proBNP levels in patients with pregnancy-induced hypertension after therapy with magnesium sulfate and nifedipine. AU - Wang,Li, AU - Liu,Zhi-Qiang, AU - Huo,Ying-Qian, AU - Yao,Li-Juan, AU - Wei,Xue-Gong, AU - Wang,Yun-Fang, PY - 2013/08/10/received PY - 2013/09/15/revised PY - 2013/10/15/accepted PY - 2013/10/3/entrez PY - 2013/10/3/pubmed PY - 2014/7/23/medline KW - Amino–terminal pro-brain natriuretic peptide KW - Pregnancy–induced hypertension KW - Soluble vascular cell adhesion molecule–1 KW - Ultra–sensitivity C–reactive protein SP - 897 EP - 901 JF - Asian Pacific journal of tropical medicine JO - Asian Pac J Trop Med VL - 6 IS - 11 N2 - OBJECTIVE: To investigate the change of the hs-CRP, sVCAM-1, NT-proBNP levels of the patients with pregnancy-induced hypertension (PIH) syndrome. METHODS: A total of 200 patients with PIH were divided into mild, moderate and severe group, and 50 healthy pregnancy patients served as the control group. The serum sVCAM-1 levels were detected by enzyme-linked immunosorbent assay, hs-CRP were detected by immunity transmission turbidity, and NT-proBNP levels were determined by the colloidal gold method. Patients were treated with magnesium sulfate and nifedipine and the contrastive analysis was performed before and after treatment. And the pathological changes in placental of PIH patients were detected by hematoxylin-eosin staining at the same time. RESULTS: The hs-CRP, sVCAM-1, NT-proBNP levels of patients in the mild, moderate and severe PIH group were significantly higher than that in the control group (P<0.05). The hs-CRP, sVCAM-1, NT-proBNP levels in the severe group were significantly higher than the mild group and the moderate group, the difference was statistically significant (P<0.05). The hs-CRP, sVCAM-1, NT-proBNP of the moderate group were significantly higher than the mild group (P<0.05). There was a positive correlation between hs-CRP, sVCAM-1, NT-proBNP expression levels and the degree of the PIH. The expression of hs-CRP, sVCAM-1, NT-proBNP levels of the moderate and the severe group were significantly decreased (P<0.05). The number of placental villi and interstitial blood vessel in the moderate and severe PIH group were significantly less than the control group (P<0.05). CONCLUSIONS: The increased levels of serum hs-CRP, sVCAM-1, NT-proBNP may be involved in the process of vascular endothelial cell injury of the PIH, and the hs-CRP, sVCAM-1, NT-proBNP can be used as the auxiliary index for diagnosis of PIH and determination of PIH severity. SN - 2352-4146 UR - https://www.unboundmedicine.com/medline/citation/24083587/Change_of_hs_CRP_sVCAM_1_NT_proBNP_levels_in_patients_with_pregnancy_induced_hypertension_after_therapy_with_magnesium_sulfate_and_nifedipine_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1995-7645(13)60160-1 DB - PRIME DP - Unbound Medicine ER -