Pregnant Women’s Blood Pressure Reactivity Differences With and Without Family History of Hypertension After Undergoingthe Cold Pressor Test (CPT)

Linda Yanti, M. Ulfah, Made Suandika
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Abstract

— Pregnancy may physiologically trigger pregnant women’s cardio-vascular system to progressively adapt with significant structural and functional changes, such as increasing blood volume, cardiac output, heart rate and stroke volume as well as decreasing blood pressure and systemic vascular resistance, including hypertension which is possibly triggered by family history of hypertension. The Cold Pressor Test (CPT) was conducted to see pregnant women’s blood pressure reactivity differences with and without family history of hypertension. This research aims at examining pregnant women’s blood pressure reactivity differences with and without family history of hypertension after undergoing the Cold Pressor Test (CPT). This quasi-experimental research measured both systolic and diastolic blood pressure changes before and after undergoing the Cold Pressor Test (CPT), while the data was processed using Mann-Whitney test. Results: Of 80 pregnant women’s mean systolic blood pressure with family history of hypertension before and after undergoing the Cold Pressor Test (CPT)was respectively 103.82 mmhg and 126.76 mmhg, while, their mean diastolic blood pressure before and after undergoing the Cold Pressor Test (CPT) was respectively 76.62 mmhg and 100.29 mmhg. The pregnant women’s mean systolic blood pressure without family history of hypertension before and after undergoing the Cold Pressor Test (CPT) was 107.91 mmHg and 118.87 mmHg while their mean diastolic blood pressure before and after undergoing the Cold Pressor Test (CPT) was respectively 76.62 mmHg and 78.50 mmHg. After the data was processed using Mann-Whitney test it showed a significance value of0.003. Because the p-value was <0.05, it can be concluded that there was a significant difference between pregnant mothers with and without family history of hypertension and those with both systolic hypo-reactor and hyper-reactor. Conclusion: there is a significant difference between pregnant women with and without family history of hypertension and blood pressure.
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有和无高血压家族史孕妇冷压试验后血压反应性的差异
-妊娠可能在生理上触发孕妇的心血管系统逐渐适应,发生显著的结构和功能变化,如血容量、心输出量、心率和脑卒中量增加,血压和全身血管阻力降低,包括高血压,这可能是由高血压家族史引起的。采用冷压试验(CPT)观察有和无高血压家族史孕妇血压反应性的差异。本研究旨在探讨有无高血压家族史的孕妇在接受冷压试验(CPT)后血压反应性的差异。本准实验研究测量了冷压试验(CPT)前后的收缩压和舒张压变化,并采用Mann-Whitney检验对数据进行处理。结果:80例有高血压家族史的孕妇接受冷压试验(CPT)前后平均收缩压分别为103.82 mmhg和126.76 mmhg,接受冷压试验(CPT)前后平均舒张压分别为76.62 mmhg和100.29 mmhg。无高血压家族史孕妇接受冷压试验(CPT)前后平均收缩压为107.91 mmHg和118.87 mmHg,接受冷压试验(CPT)前后平均舒张压分别为76.62和78.50 mmHg。经Mann-Whitney检验,显著性值为0.003。由于p值<0.05,可以认为有高血压家族史和无高血压家族史的孕妇与同时存在收缩期低反应和高反应的孕妇之间存在显著差异。结论:有高血压家族史和无高血压家族史的孕妇血压有显著差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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