{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:50:01Z","timestamp":1777661401822,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["High Altitude Medicine &amp; Biology"],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:p>\n                    Mundo, William, Lilian Toledo-Jaldin, Alexandrea Heath-Freudenthal, Jaime Huayacho, Litzi Lazo-Vega, Alison Larrea-Alvarado, Valquiria Miranda-Garrido, Rodrigo Mizutani, Lorna G. Moore, Any Moreno-Aramayo, Richard Gomez, Patricio Gutierrez, and Colleen G. Julian. Is maternal cardiovascular performance impaired in altitude-associated fetal growth restriction?\n                    <jats:italic toggle=\"yes\">High Alt Med Biol<\/jats:italic>\n                    . 23:352\u2013360, 2022.\n                  <\/jats:p>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The incidence of fetal growth restriction (FGR) is elevated in high-altitude resident populations. This study aims to determine whether maternal central hemodynamics during the last trimester of pregnancy are altered in high-altitude FGR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      In this cross-sectional study of maternal-infant pairs (FGR,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200927; controls,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200926) residing in La Paz, Bolivia, maternal heart rate, cardiac output (CO), stroke volume, and systemic vascular resistance (SVR) were assessed using continuous-wave Doppler ultrasound. Transabdominal Doppler ultrasound was used for uterine artery (UtA) resistance indices and fetal measures. Maternal venous soluble fms-like tyrosine kinase-1 (sFlt1) levels were measured.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>FGR pregnancies had reduced CO, elevated SVR and UtA resistance, fetal brain sparing, and increased maternal sFlt1 versus controls. Maternal SVR was positively associated with UtA resistance and inversely associated with middle cerebral artery resistance and birth weight. Maternal sFlt1 was greater in FGR than controls and positively associated with UtA pulsatility index. Women with elevated sFlt1 levels also tended to have lower CO and higher SVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Noninvasive assessment of maternal cardiovascular function may be an additional method for detecting high-risk pregnancies at high altitudes, thereby informing the need for increased surveillance and appropriate allocation of resources to minimize adverse outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/ham.2022.0082","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T09:09:46Z","timestamp":1670317786000},"page":"352-360","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Is Maternal Cardiovascular Performance Impaired in Altitude-Associated Fetal Growth Restriction?"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0043-7419","authenticated-orcid":false,"given":"William","family":"Mundo","sequence":"first","affiliation":[{"name":"University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilian","family":"Toledo-Jaldin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandrea","family":"Heath-Freudenthal","sequence":"additional","affiliation":[{"name":"Kardiozentrum, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Huayacho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Litzi","family":"Lazo-Vega","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Larrea-Alvarado","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valquiria","family":"Miranda-Garrido","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Mizutani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorna G.","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Any","family":"Moreno-Aramayo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Gomez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricio","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Materno-Infantil, La Paz, Bolivia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen G.","family":"Julian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA."},{"name":"Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,12,23]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1002\/uog.5311","article-title":"Maternal cardiac function in normotensive and pre-eclamptic intrauterine growth restriction","volume":"32","author":"Bamfo JE","year":"2008","unstructured":"Bamfo JE, , Kametas NA, , Chambers JB, , and Nicolaides KH. 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