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Determinants of blood pressure in pregnancy.

by Cathy Yui Hung. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1997. / Includes bibliographical references (leaves 129-152). / Abstract --- p.i / List of A bbreviations --- p.iv / Table of Contents --- p.vii / Chapter CHAPTER 1 --- INTRODUCTION / Chapter 1. --- Definitions & Morbid implication of PIH / Chapter 1.1. --- Definition of PIH --- p.1 / Chapter 1.2. --- Classification --- p.2 / Chapter 1.3. --- Background --- p.3 / Chapter 2. --- Aetiology PIH --- p.4 / Chapter 2.1. --- Anatomy of placenta --- p.4 / Chapter 2.2. --- Physiology of placenta --- p.4 / Chapter 2.3. --- The placenta as the cause of PIH --- p.6 / Chapter 2.4. --- Pathology of the placental bed --- p.7 / Chapter 3. --- Epidemiology of PIH --- p.9 / Chapter 3.1. --- Maternal risk factors --- p.9 / Chapter 3.2. --- Fetal risk factors --- p.10 / Chapter 3.3. --- Genetics of PIH --- p.10 / Chapter 3.4. --- Maternal outcome --- p.12 / Chapter 3.5. --- Fetal outcome --- p.13 / Chapter 4. --- Pathophysiologic changes in PIH --- p.14 / Chapter 4.1. --- Important Pathophysiologic changes in PIH --- p.14 / Chapter 4.1.1. --- Hyperdynamic circulation --- p.14 / Chapter 4.1.2. --- Changes in Intravascular volume --- p.15 / Chapter 4.1.3. --- Loss of resistance to Angiotensin II and catecholamines --- p.16 / Chapter 4.1.4. --- Coagulation abnormalities --- p.16 / Chapter 4.1.5. --- Platelets --- p.17 / Chapter 4.2. --- Multisystem disorder in PIH --- p.18 / Chapter 4.2.1. --- The kidney --- p.18 / Chapter 4.2.2. --- The liver --- p.19 / Chapter 4.2.3. --- The brain and nervous system --- p.19 / Chapter 4.2.4. --- Cardiovascular and renin-angiotensin systems --- p.20 / Chapter 4.2.5. --- Placenta --- p.21 / Chapter 5. --- Prediction of PIH --- p.22 / Chapter 5.1. --- Standard methods of antental care --- p.22 / Chapter 5.1.1. --- Blood pressure increase in antenatal period --- p.22 / Chapter 5.1.2. --- Second Trimester Mean Arterial Pressure --- p.23 / Chapter 5.1.3. --- Proteinuria --- p.25 / Chapter 5.1.4. --- Excessive weight gain and edema --- p.26 / Chapter 5.1.5. --- Platelet count --- p.27 / Chapter 5.2. --- Vasoconstriction tests --- p.27 / Chapter 5.2.1. --- The Isometric Handgrip Exercise Test --- p.27 / Chapter 5.2.2. --- Roll-Over Test --- p.28 / Chapter 5.2.3. --- Infusion of Angiotensin II --- p.31 / Chapter 5.3. --- Biochemical tests --- p.33 / Chapter 5.3.1. --- Urinary Calcium excretion --- p.33 / Chapter 5.3.2. --- Prostacyclin & throboxane A2 --- p.33 / Chapter 5.3.3. --- Platelet Angiotensin II receptors --- p.34 / Chapter 5.4. --- Ultrasougographic evaluation --- p.36 / Chapter 5.4.1. --- Doppler waveforms of uteroplacental circulation --- p.36 / Chapter 6. --- Prevention & treatment of PIH --- p.38 / Chapter 6.1. --- Antihypertensive drugs --- p.40 / Chapter 6.2. --- Antithrombotic agents --- p.40 / Chapter 6.2.1. --- Low-dose aspirin --- p.40 / Chapter 6.3. --- Calcium supplementation --- p.44 / Chapter CHAPTER 2 --- General Methodology / Chapter 1.1 --- Introduction --- p.48 / Chapter 1.2. --- Materials --- p.48 / Chapter 2. --- Studies --- p.51 / Chapter 2.1. --- Validation of Cor-7000 Sphygmomanometer --- p.51 / Chapter 2.1.1. --- Patients --- p.51 / Chapter 2.1.2. --- Methods --- p.51 / Chapter 2.1.3. --- Statistics --- p.52 / Chapter 2.1.4. --- Results --- p.53 / Chapter 2.2. --- Platelet ANG II receptor status and systemic vascular resistance --- p.58 / Chapter 2.2.1. --- Control subjects --- p.58 / Chapter 2.2.2. --- Patient subjects --- p.58 / Chapter 2.2.3. --- Platelet preparation and platelet angiotensin II binding site assay --- p.60 / Chapter 2.2.3.1. --- Statistical analysis --- p.62 / Chapter 2.2.3.2. --- Results --- p.63 / Chapter 2.2.4. --- Using impedance techniques to measurement of systemic vascular resistance --- p.74 / Chapter 2.2.4.1. --- Measurement of Cardiac Output by impedance cardiography --- p.74 / Chapter 2.2.4.2. --- Validity of transthoracic electrical bioimpedance technique --- p.81 / Chapter 2.2.4.3. --- Measurement of mean arterial pressure --- p.87 / Chapter 2.2.4.3.1. --- Experimental technique --- p.87 / Chapter 2.2.4.3.2. --- Statistical analysis --- p.92 / Chapter 2.2.4.4. --- Results --- p.92 / Chapter 2.2.4.5. --- Data analysis --- p.93 / Chapter 2.2.4.6. --- Relationship between platelet ANG II binding and haemodynamic indices --- p.110 / Chapter 2.2.4.7. --- pregnancy outcome --- p.115 / Chapter CHAPTER 3. --- RESULTS / Chapter 1. --- Study 1 Validation of Cor 7000 sphygmomanometer --- p.116 / Chapter 2. --- Study 2 Platelet ANG II receptor status and systemic vascular resistance --- p.118 / Chapter 2.1. --- Platelet Angiotensin II binding Assay --- p.118 / Chapter 2.2. --- Limitation of the TEB technique --- p.121 / Chapter 2.3. --- Changes in blood pressure and other cardiovascular indices --- p.122 / Chapter 2.4. --- Relationship between Platelet ANG II binding and Haemodynamic indices --- p.124 / Chapter CHAPTER 4 --- CONCLUSION / Chapter 4.1. --- Conclusion --- p.126 / References --- p.129 / Acknowledgments

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_322023
Date January 1997
ContributorsHung, Cathy Yui., Chinese University of Hong Kong Graduate School. Division of Surgical Sciences.
Source SetsThe Chinese University of Hong Kong
LanguageEnglish
Detected LanguageEnglish
TypeText, bibliography
Formatprint, xiii, 152, [18] leaves : ill. ; 30 cm.
RightsUse of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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