Functional hemodynamic testing in pregnancy: recommendations of the International Working Group on Maternal Hemodynamics

V. L. Meah; K. Backx; M. H. Davenport; A. Bruckmann; J. Cockcroft; J. Cornette; J. J. Duvekot; E. Ferrazzi; F. L. Foo; C. Ghossein-Doha; W. Gyselaers; A. Khalil; C. M. McEniery; C. Lees; V. Meah; G. P. Novelli; M. Spaanderman; E. Stohr; J. Tay; B. Thilaganathan; H. Valensise; I. Wilkinson; International Working Group on Maternal Hemodynamics

doi:10.1002/uog.18890

Functional hemodynamic testing in pregnancy: recommendations of the International Working Group on Maternal Hemodynamics

V. L. Meah^*, K. Backx, M. H. Davenport, A. Bruckmann, J. Cockcroft, J. Cornette, J. J. Duvekot, E. Ferrazzi, F. L. Foo, C. Ghossein-Doha, W. Gyselaers, A. Khalil, C. M. McEniery, C. Lees, V. Meah^*, G. P. Novelli, M. Spaanderman, E. Stohr, J. Tay, B. ThilaganathanH. Valensise, I. Wilkinson, International Working Group on Maternal Hemodynamics

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

In the general population, functional hemodynamic testing, such as that during submaximal aerobic exercise and isometric handgrip, and the cold pressor test, has long been utilized to unmask abnormalities in cardiovascular function. During pregnancy, functional hemodynamic testing places additional demands on an already stressed maternal cardiovascular system. Dysfunctional responses to such tests in early pregnancy may predict the development of hypertensive disorders that develop later in gestation. For each of the above functional hemodynamic tests, these recommendations provide a description of the test, test protocol and equipment required, and an overview of the current understanding of clinical application during pregnancy. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.

Original language	English
Pages (from-to)	331-340
Number of pages	10
Journal	Ultrasound in Obstetrics & Gynecology
Volume	51
Issue number	3
DOIs	https://doi.org/10.1002/uog.18890
Publication status	Published - 1 Mar 2018

Keywords

aerobic exercise
cold pressor test
functional testing
hypertensive pregnancy
isometric handgrip
maternal hemodynamics

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Meah, V. L., Backx, K., Davenport, M. H., Bruckmann, A., Cockcroft, J., Cornette, J., Duvekot, J. J., Ferrazzi, E., Foo, F. L., Ghossein-Doha, C., Gyselaers, W., Khalil, A., McEniery, C. M., Lees, C., Meah, V., Novelli, G. P., Spaanderman, M., Stohr, E., Tay, J., ... International Working Group on Maternal Hemodynamics (2018). Functional hemodynamic testing in pregnancy: recommendations of the International Working Group on Maternal Hemodynamics. Ultrasound in Obstetrics & Gynecology, 51(3), 331-340. https://doi.org/10.1002/uog.18890

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title = "Functional hemodynamic testing in pregnancy: recommendations of the International Working Group on Maternal Hemodynamics",

abstract = "In the general population, functional hemodynamic testing, such as that during submaximal aerobic exercise and isometric handgrip, and the cold pressor test, has long been utilized to unmask abnormalities in cardiovascular function. During pregnancy, functional hemodynamic testing places additional demands on an already stressed maternal cardiovascular system. Dysfunctional responses to such tests in early pregnancy may predict the development of hypertensive disorders that develop later in gestation. For each of the above functional hemodynamic tests, these recommendations provide a description of the test, test protocol and equipment required, and an overview of the current understanding of clinical application during pregnancy. Copyright {\textcopyright} 2017 ISUOG. Published by John Wiley & Sons Ltd.",

keywords = "aerobic exercise, cold pressor test, functional testing, hypertensive pregnancy, isometric handgrip, maternal hemodynamics",

author = "Meah, {V. L.} and K. Backx and Davenport, {M. H.} and A. Bruckmann and J. Cockcroft and J. Cornette and Duvekot, {J. J.} and E. Ferrazzi and Foo, {F. L.} and C. Ghossein-Doha and W. Gyselaers and A. Khalil and McEniery, {C. M.} and C. Lees and V. Meah and Novelli, {G. P.} and M. Spaanderman and E. Stohr and J. Tay and B. Thilaganathan and H. Valensise and I. Wilkinson and {International Working Group on Maternal Hemodynamics}",

note = "Publisher Copyright: Copyright {\textcopyright} 2017 ISUOG. Published by John Wiley & Sons Ltd.",

year = "2018",

month = mar,

day = "1",

doi = "10.1002/uog.18890",

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journal = "Ultrasound in Obstetrics & Gynecology",

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Meah, VL, Backx, K, Davenport, MH, Bruckmann, A, Cockcroft, J, Cornette, J, Duvekot, JJ, Ferrazzi, E, Foo, FL, Ghossein-Doha, C, Gyselaers, W, Khalil, A, McEniery, CM, Lees, C, Meah, V, Novelli, GP, Spaanderman, M, Stohr, E, Tay, J, Thilaganathan, B, Valensise, H, Wilkinson, I & International Working Group on Maternal Hemodynamics 2018, 'Functional hemodynamic testing in pregnancy: recommendations of the International Working Group on Maternal Hemodynamics', Ultrasound in Obstetrics & Gynecology, vol. 51, no. 3, pp. 331-340. https://doi.org/10.1002/uog.18890

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T1 - Functional hemodynamic testing in pregnancy

T2 - recommendations of the International Working Group on Maternal Hemodynamics

AU - Meah, V. L.

AU - Backx, K.

AU - Davenport, M. H.

AU - Bruckmann, A.

AU - Cockcroft, J.

AU - Cornette, J.

AU - Duvekot, J. J.

AU - Ferrazzi, E.

AU - Foo, F. L.

AU - Ghossein-Doha, C.

AU - Gyselaers, W.

AU - Khalil, A.

AU - McEniery, C. M.

AU - Lees, C.

AU - Meah, V.

AU - Novelli, G. P.

AU - Spaanderman, M.

AU - Stohr, E.

AU - Tay, J.

AU - Thilaganathan, B.

AU - Valensise, H.

AU - Wilkinson, I.

AU - International Working Group on Maternal Hemodynamics

PY - 2018/3/1

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N2 - In the general population, functional hemodynamic testing, such as that during submaximal aerobic exercise and isometric handgrip, and the cold pressor test, has long been utilized to unmask abnormalities in cardiovascular function. During pregnancy, functional hemodynamic testing places additional demands on an already stressed maternal cardiovascular system. Dysfunctional responses to such tests in early pregnancy may predict the development of hypertensive disorders that develop later in gestation. For each of the above functional hemodynamic tests, these recommendations provide a description of the test, test protocol and equipment required, and an overview of the current understanding of clinical application during pregnancy. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.

AB - In the general population, functional hemodynamic testing, such as that during submaximal aerobic exercise and isometric handgrip, and the cold pressor test, has long been utilized to unmask abnormalities in cardiovascular function. During pregnancy, functional hemodynamic testing places additional demands on an already stressed maternal cardiovascular system. Dysfunctional responses to such tests in early pregnancy may predict the development of hypertensive disorders that develop later in gestation. For each of the above functional hemodynamic tests, these recommendations provide a description of the test, test protocol and equipment required, and an overview of the current understanding of clinical application during pregnancy. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.

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KW - cold pressor test

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KW - hypertensive pregnancy

KW - isometric handgrip

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JF - Ultrasound in Obstetrics & Gynecology

IS - 3

ER -

Functional hemodynamic testing in pregnancy: recommendations of the International Working Group on Maternal Hemodynamics

Abstract

Keywords

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