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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003849naa a2200325 4500
001oai:lup.lub.lu.se:2dfb8eb5-de6b-414c-a6e3-3e30f030f00e
003SwePub
008180926s2018 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/2dfb8eb5-de6b-414c-a6e3-3e30f030f00e2 URI
024a https://doi.org/10.1080/10641955.2018.15162252 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a von Wowern, Emmau Lund University,Lunds universitet,Obstetrisk, gynekologisk och prenatal ultraljudsdiagnostik,Forskargrupper vid Lunds universitet,Obstetric, Gynaecological and Prenatal Ultrasound Research,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-evr
2451 0a Arterial stiffness during controlled ovarian hyperstimulation and early pregnancy in women exposed to assisted reproduction
264 c 2018-09-21
264 1b Informa UK Limited,c 2018
520 a INTRODUCTION: Female sex hormones have vasorelaxing effects in non-pregnant and pregnant women. We aimed to investigate the effect of controlled ovarian hyperstimulation (COH) for in vitro fertilization (IVF), and early pregnancy, on arterial stiffness as assessed by digital pulse wave analysis (DPA), hypothesizing reduced arterial stiffness as an effect of increased estrogen levels.MATERIAL AND METHODS: A total of 68 women undergoing IVF were examined with DPA before conception and during IVF treatment with COH and embryo transfer (ET), and in gestational week seven in 19 women who became pregnant. Heart rate (HR), mean arterial pressure (MAP) and the DPA variables cardiac ejection elasticity index (EEI), b/a, dicrotic index (DI), d/a and aging index (AI) were measured.RESULTS: HR was significantly increased at all measuring points (p ≤ 0.003) but MAP only at ET (p 0.007). DPA variables representing large arteries (EEI, b/a) and peripheral arteries (DI, but not d/a), and the global variable AI, indicated increased arterial stiffness at ET compared with baseline (p ≤ 0.035). No DPA variable was significantly changed at pregnancy measurements compared to baseline.CONCLUSION: During COH for IVF treatment, DPA showed no changes in arterial stiffness during the follicular phase or in early pregnancy, but increased arterial stiffness in central and peripheral arteries in the early luteal phase. The result suggests a hormonal hemodynamic activation counteracting the effects of estrogen.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng
700a Saldeen, Piau Lund University,Lunds universitet,Reproduktionsmedicin, Malmö,Forskargrupper vid Lunds universitet,Reproductive medicine, Malmö,Lund University Research Groups,Nordic IVF Malmö4 aut0 (Swepub:lu)med-psl
700a Olofsson, Peru Lund University,Lunds universitet,Urogynekologi och reproduktionsfarmakologi,Forskargrupper vid Lunds universitet,Urogynaecology and Reproductive Pharmacology,Lund University Research Groups,Cura Mödravård, Malmö4 aut0 (Swepub:lu)obst-pol
710a Obstetrisk, gynekologisk och prenatal ultraljudsdiagnostikb Forskargrupper vid Lunds universitet4 org
773t Hypertension in Pregnancyd : Informa UK Limitedg 37:4, s. 182-191q 37:4<182-191x 1064-1955x 1525-6065
856u http://dx.doi.org/10.1080/10641955.2018.1516225x freey FULLTEXT
856u https://www.tandfonline.com/doi/pdf/10.1080/10641955.2018.1516225?needAccess=true
8564 8u https://lup.lub.lu.se/record/2dfb8eb5-de6b-414c-a6e3-3e30f030f00e
8564 8u https://doi.org/10.1080/10641955.2018.1516225

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von Wowern, Emma
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