Abnormal Microvascular Reactivity with Hypercholesterolaemia in Pregnancy
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Abnormal Microvascular Reactivity with Hypercholesterolaemia in Pregnancy
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Aida Hanum Ghulam Rasool, Aisyah Syairah Abdul Rahman, Nor Aliza Abd Ghaffar, Nik Mohd Zaki Nik Mahmood, Abd Rahim Wong
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Abnormal Microvascular Reactivity with Hypercholesterolaemia in Pregnancy
Year: 2010
Copyright (license): CC BY 4.0
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Summary of article contents:
Introduction
Hypercholesterolaemia is a significant cardiovascular risk factor that contributes to endothelial dysfunction and has implications for both maternal and fetal health during pregnancy. This study aims to investigate how hypercholesterolaemia affects microvascular reactivity in pregnant women by comparing post-occlusive skin reactive hyperaemia (PORH) responses in hypercholesterolaemic patients to age and gestational age-matched controls. By utilizing laser Doppler fluximetry (LDF), the research assesses skin perfusion before, during, and after arterial occlusion, enabling insights into the microcirculation's response to ischemia.
Abnormal Microvascular Reactivity in Hypercholesterolaemia
A key finding of the study is that pregnant women with hypercholesterolaemia exhibited a significantly prolonged time to achieve peak perfusion (Tp) following occlusion compared to the control group. While no substantial differences in baseline perfusion, peak perfusion after occlusion (PORHpeak), or maximum change in perfusion (PORHmax) were observed between groups, the extended Tp in the hypercholesterolaemic group suggests impaired microvascular reactivity. The study illustrates that higher serum total cholesterol levels correlate positively with longer Tp, indicating that hypercholesterolaemia contributes to delays in microvascular responses during reactive hyperaemia.
Conclusion
In conclusion, hypercholesterolaemia during pregnancy is linked to abnormal microvascular reactivity, as evidenced by increased time required to reach peak perfusion after temporary arterial occlusion. This finding highlights the need for further research to explore the implications of altered microvascular function in pregnant women with hypercholesterolaemia, including detailed correlations with lipid profiles, vascular health, and pregnancy outcomes. The insights gained from this study could be essential for understanding maternal-fetal health dynamics in the context of dyslipidemia during pregnancy.
FAQ section (important questions/answers):
What is the significance of post-occlusive skin reactive hyperaemia (PORH)?
PORH is a model used to assess microvascular reactivity, indicating how blood vessels respond to temporary occlusion. It helps in understanding vascular health, especially in patients with conditions like hypercholesterolaemia.
What was the main finding regarding pregnant hypercholesterolaemic patients?
The study found that pregnant hypercholesterolaemic patients had a significantly longer time to achieve peak perfusion (Tp) during PORH compared to age and gestational age-matched controls, suggesting abnormal microvascular reactivity.
How was the study conducted to assess microvascular reactivity?
The study included 17 pregnant hypercholesterolaemic women and 20 controls. Skin perfusion was measured using laser Doppler fluximetry before, during, and after occlusion to evaluate the PORH response.
What are potential implications of hypercholesterolaemia during pregnancy?
Hypercholesterolaemia in pregnancy may impair vascular and placental functions, potentially contributing to pregnancy complications and affecting fetal health due to decreased microvascular reactivity.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Abnormal Microvascular Reactivity with Hypercholesterolaemia in Pregnancy”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Blood:
Blood is the fluid that circulates in the body's vascular system, carrying oxygen and nutrients to cells and removing waste products. In this study, skin blood perfusion was measured to assess microvascular reactivity, which is crucial for understanding cardiovascular health, especially in contexts like hypercholesterolemia during pregnancy.
2) Study (Studying):
The study represents systematic research to investigate the effect of hypercholesterolemia on microvascular reactivity in pregnant women. It aims to compare these patients to age and gestational age-matched controls, providing crucial insights into how high cholesterol levels impact vascular health during pregnancy.
3) Pregnant:
Pregnant refers to women who are carrying a developing fetus. This study focuses on the microvascular reactivity of pregnant women with hypercholesterolemia, emphasizing the unique physiological changes and risks they face, which can differ greatly from non-pregnant populations, highlighting the importance of tailored cardiovascular assessments.
4) Post:
Post refers to the period after a certain event. In the context of this study, it describes post-occlusive reactive hyperemia, which measures blood flow response after temporary arterial occlusion. Understanding this response is pivotal for evaluating how hypercholesterolemia may alter microvascular reactivity in pregnant women.
5) Disease:
Disease refers to a pathological condition of a bodily part, an organism, or system resulting from various causes. The study examines hypercholesterolemia as it is associated with cardiovascular diseases, exploring its effects on microvascular health during pregnancy, an important consideration for maternal and fetal well-being.
6) Drug:
Drug refers to any substance used for a medical purpose, especially to treat or manage conditions. While the subjects in this study were not on any vasoactive medications, understanding implications of drugs like statins can help interpret findings related to microvascular reactivity in hypercholesterolemic patients.
7) Measurement:
Measurement in this context pertains to quantifying skin blood perfusion using laser Doppler fluximetry. Accurate measurement is vital for assessing changes in microvascular reactivity and understanding how conditions like hypercholesterolemia may affect vascular function during pregnancy, leading to insights into patient care strategies.
8) Table:
Table in this study displays critical data comparing microvascular parameters between hypercholesterolaemic and control groups. It allows for concise presentation of statistical findings, enabling readers to quickly grasp differences in aspects like baseline perfusion and peak hyperemia, which are essential for interpreting study results.
9) Substance:
Substance pertains to any material with a definite chemical composition. In this study, it could refer to vasodilating substances like nitric oxide, which are critical for understanding endothelial responses to ischemia. The presence and function of such substances in hypercholesterolaemia have implications for vascular health.
10) Wall:
Wall typically refers to the arterial wall, which consists of layers that regulate blood flow and pressure. The study addresses potential structural changes in blood vessel walls caused by hypercholesterolaemia, influencing microvascular reactivity and emphasizing the vascular integrity in pregnant women and disease processes.
11) Hand:
Hand refers to the limb used for physiological measurements. In this study, the placement of the arm and hand during laser Doppler perfusion measurements is crucial to ensure comfort and consistency, thereby reducing variability in data collection vital for accurate interpretation of microvascular reactivity results.
12) Naga (Nāga, Nag, Nāgā):
NAAG refers to a specific researcher or author involved in the study. Understanding the contributions of each author can provide credibility to the research findings, highlighting their expertise in the fields of obstetrics, gynecology, and vascular physiology, ultimately emphasizing the study's thoroughness and reliability.
13) Accumulation (Accumulating, Accumulate):
Accumulation refers to the buildup of a substance over time. In this study, it could relate to the accumulation of lipids in arterial walls in hypercholesterolaemia. Understanding how such accumulation influences microvascular reactivity during pregnancy is essential for assessing cardiovascular risks in affected individuals.
14) Developing:
Developing refers to the growth of a fetus during pregnancy. The study focuses on hypercholesterolaemia's effects on maternal microvascular health, which can influence the developing fetus. Understanding these effects is crucial for evaluating potential complications and ensuring healthier pregnancy outcomes for both mother and child.
15) Activity:
Activity often refers to the biological processes at play within the vascular system. In this study, assessing endothelial activity and the release of vasodilators during post-occlusive hyperemia provides insights into how hypercholesterolemia affects microvascular function and overall cardiovascular health in pregnant subjects.
16) Entering:
Entering relates to the process of recruitment for the study. In this context, pregnant women were entering the early third trimester, an important phase that involves increased vascular changes. This aspect enhances the relevance of findings as it reflects on pregnancy-specific cardiovascular dynamics and microvascular health.
17) Heating:
Heating in this context could relate to physiological responses observed during tests like local heating, which is used to stimulate blood flow. Understanding how reactions differ during hypercholesterolemia, especially in pregnant women, sheds light on vascular health and the complexities of microvascular reactivity.
18) Surface:
Surface typically refers to the outer layer, such as skin. In this study, the skin surface is the measurement area for blood flow assessment using laser Doppler fluximetry. Understanding microcirculation changes at the skin surface highlights the vascular responses related to hypercholesterolemia in pregnancy.
19) Forest:
Forest may refer to specific researchers or analysts involved in the study, influencing the analysis of data and interpretation of results. Their expertise contributes to comprehensive findings regarding microvascular response to hypercholesterolemia, particularly within the complex framework of pregnancy and vascular health dynamics.
20) Reason:
Reason pertains to the rationale behind conducting the study. They aim to explore critical differences in microvascular reactivity in pregnant women with hypercholesterolemia versus controls, addressing a gap in understanding how lipid disorders impact vascular health specific to the unique physiological changes that occur during pregnancy.
21) Animal:
Animal in this context may refer to studies conducted on animals for understanding hypercholesterolemia or vascular responses. While human data is emphasized, animal studies often inform the mechanisms at play in hypercholesterolemia, providing foundational knowledge for related human research and pregnancy implications.
22) Birth:
Birth refers to the process of delivering a baby. The study's focus on maternal hypercholesterolemia influences vascular health during pregnancy, which carries repercussions for fetal development and outcomes. Understanding these relationships is vital to improving maternal and child health during the critical birth process.
23) Diet:
Diet concerns nutritional intake and its implications for health, particularly during pregnancy. The study highlights that dietary habits surrounding cholesterol management may influence maternal hypercholesterolemia and its consequences on vascular health, emphasizing the importance of dietary education and interventions for pregnant women.
24) Male (Mālē):
Male pertains to gender and its potential influence on study findings. While this study focuses on pregnant women, understanding differences in microvascular response between genders can enhance knowledge of hypercholesterolemia's effects, leading to tailored approaches in managing cardiovascular risk across different populations.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Abnormal Microvascular Reactivity with Hypercholesterolaemia in Pregnancy’. Further sources in the context of Science might help you critically compare this page with similair documents:
Blood flow, Pregnant women, Detailed study, Blood-pressure, Statistical analysis, Statistical Significance, Body mass index, Oxidative stress, Serum cholesterol, Hyperlipidaemia, Lipid profile, Cross-sectional study, Endothelial dysfunction, Microcirculation, Prospective study, Serum total cholesterol, Gestational age, Fasting plasma glucose, Mean age, Microcirculation improvement, Mann–Whitney U-test, Ethical approval, Independent t-test, Cardiovascular risk factor, Gestational diabetes, Informed consent form, Pregnancy outcome, Vascular Changes, Free Radical, Linear regression analysis, Cholesterol Reduction, Diabetic patient, Baseline characteristics, Correlation analysis, Vascular function, Vascular reactivity, Vascular abnormalities, Peripheral vascular resistance, Skin temperature, Pregnant Controls, Reactive hyperemia, Reference, Microvascular Abnormalities, Hypertensive patient, Oxidative stress condition, Smooth muscle cells, Blood vessel, Reproducibility of measurement.