{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:24:09Z","timestamp":1787765049482,"version":"build-2784847793"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hypertensive disorder of pregnancy (HDP) comprise chronic hypertension, gestational hypertension, preeclampsia\/eclampsia, and preeclampsia superimposed on chronic hypertension. HDP complicate up to 10% of pregnancies worldwide and carry significant risks of maternal and perinatal morbidity and mortality. The aim of this study was to evaluate the derangement and characteristics of brachial artery flow-mediated dilation (BAFMD) in women with HDP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The BAFMD of the right brachial artery of 80 women with HDP (pregnant HDP), 80 normotensive pregnant women (pregnant non-HDP), and 80 healthy nonpregnant women (nonpregnant controls) was evaluated with B-mode ultrasound. The age, blood pressure, body mass index (BMI), brachial artery diameter, and BAFMD of the participants were compared.\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2264 0.05 was statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The pregnant HDP group had significantly lower mean BAFMD compared to pregnant non-HDP and nonpregnant controls (6.9% \u00b1 2.53% vs. 8.32% \u00b1 3.4% vs. 9.4% \u00b1 2.68%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). There was no significant difference between the mean BAFMD of the pregnant HDP subgroups: preeclampsia (5.81% \u00b1 1.7%) versus gestational hypertension (6.43% \u00b1 3.02%);\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.57. BAFMD diminished with advancing gestational age in both the pregnant HDP and pregnant non-HDP groups. On regression analysis, BAFMD was a poor marker for HDP, while BMI was an independent predictor for HDP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Even though HDP were associated with significantly diminished BAFMD, it was not a good marker for HDP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmu.jmu_10_23","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T07:00:23Z","timestamp":1704265223000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Flow-mediated Dilation of the Brachial Artery in Women with Hypertensive Disorders of Pregnancy"],"prefix":"10.4103","author":[{"given":"Babatunde Opeyemi","family":"Oguntade","sequence":"first","affiliation":[{"name":"Department of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bolanle Olubunmi","family":"Ibitoye","sequence":"additional","affiliation":[{"name":"Department of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olufemiwa Niyi","family":"Makinde","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bukunmi Michael","family":"Idowu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Union Diagnostics and Clinical Services Plc, Lagos, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolulope Adebayo","family":"Okedere","sequence":"additional","affiliation":[{"name":"Department of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10,6]]},"reference":[{"key":"R1-20240830","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1161\/HYP.0000000000000208","article-title":"Hypertension in pregnancy:Diagnosis, blood pressure goals, and pharmacotherapy:A scientific statement from the American Heart Association","volume":"79","author":"Garovic","year":"2022","journal-title":"Hypertension"},{"key":"R2-20240830","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1111\/j.1471-0528.2012.03460.x","article-title":"Hypertensive disorders in pregnancy and fetal death at different gestational lengths:A population study of 2 121 371 pregnancies","volume":"119","author":"Ahmad","year":"2012","journal-title":"BJOG"},{"key":"R3-20240830","first-page":"279","article-title":"Outcome of eclampsia at the Obafemi Awolowo University teaching hospital complex, ile-ife","volume":"11","author":"Ade-Ojo","year":"2008","journal-title":"Niger J Clin Pract"},{"key":"R4-20240830","doi-asserted-by":"crossref","first-page":"253","DOI":"10.15557\/JoU.2017.0037","article-title":"Uterine artery Doppler velocimetry in hypertensive disorder of pregnancy in Nigeria","volume":"17","author":"Abidoye","year":"2017","journal-title":"J Ultrason"},{"key":"R5-20240830","doi-asserted-by":"crossref","first-page":"190","DOI":"10.4103\/0300-1652.160367","article-title":"Maternal renal artery Doppler sonographic changes in pregnancy-induced hypertension in South West Nigeria","volume":"56","author":"Ogunmoroti","year":"2015","journal-title":"Niger Med J"},{"key":"R6-20240830","doi-asserted-by":"crossref","first-page":"474.e1","DOI":"10.1016\/j.ajog.2013.02.016","article-title":"Cardiovascular risk factors in women who had hypertensive disorders late in pregnancy:A cohort study","volume":"208","author":"Hermes","year":"2013","journal-title":"Am J Obstet Gynecol"},{"key":"R7-20240830","first-page":"H748","article-title":"Nitric oxide-mediated vasodilation in human pregnancy","volume":"272","author":"Williams","year":"1997","journal-title":"Am J Physiol"},{"key":"R8-20240830","first-page":"R441","article-title":"Nitric oxide and pregnancy","volume":"272","author":"Sladek","year":"1997","journal-title":"Am J Physiol"},{"key":"R9-20240830","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1113\/jphysiol.2005.089755","article-title":"The relationship between shear stress and flow-mediated dilatation:Implications for the assessment of endothelial function","volume":"568","author":"Pyke","year":"2005","journal-title":"J Physiol"},{"key":"R10-20240830","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1016\/0140-6736(92)93147-F","article-title":"Non-invasive detection of endothelial dysfunction in children and adults at risk of atherosclerosis","volume":"340","author":"Celermajer","year":"1992","journal-title":"Lancet"},{"key":"R11-20240830","first-page":"29","article-title":"Ultrasound assessment of maternal endothelial function:A tool for epidemiology","volume":"19","author":"Acharya","year":"2009","journal-title":"Nor Epidemiol"},{"key":"R12-20240830","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1056\/NEJM199204023261405","article-title":"Hypertension in pregnancy","volume":"326","author":"Cunningham","year":"1992","journal-title":"N Engl J Med"},{"key":"R13-20240830","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1161\/HYPERTENSIONAHA.110.150821","article-title":"Ultrasound assessment of flow-mediated dilation","volume":"55","author":"Harris","year":"2010","journal-title":"Hypertension"},{"key":"R14-20240830","first-page":"e52070","article-title":"Ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery in clinical research","volume":"92","author":"Alley","year":"2014","journal-title":"J Vis Exp"},{"key":"R15-20240830","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1161\/01.HYP.31.5.1200","article-title":"Noninvasive assessment of flow-mediated vasodilation with 30-MHz transducer in pregnant women","volume":"31","author":"Yoshida","year":"1998","journal-title":"Hypertension"},{"key":"R16-20240830","doi-asserted-by":"crossref","first-page":"377","DOI":"10.3109\/10641955.2010.525282","article-title":"Flow-mediated dilatation assessment in women with preeclampsia compared to women with gestational hypertension","volume":"31","author":"Quinton","year":"2012","journal-title":"Hypertens Pregnancy"},{"key":"R17-20240830","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1111\/j.1475-097X.1991.tb00676.x","article-title":"Ultrasound measurement of wall thickness in the carotid artery:Fundamental principles and description of a computerized analysing system","volume":"11","author":"Wendelhag","year":"1991","journal-title":"Clin Physiol"},{"key":"R19-20240830","doi-asserted-by":"crossref","first-page":"265","DOI":"10.3233\/CH-221533","article-title":"Clinical value of flow-mediated dilatation of brachial artery in hypertensive disorders complicating pregnancy","volume":"82","author":"Liu","year":"2022","journal-title":"Clin Hemorheol Microcirc"},{"key":"R20-20240830","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00404-014-3220-x","article-title":"Assessment of endothelial function in pregnant women with preeclampsia and gestational diabetes mellitus by flow-mediated dilation of brachial artery","volume":"290","author":"Guimar\u00e3es","year":"2014","journal-title":"Arch Gynecol Obstet"},{"key":"R21-20240830","doi-asserted-by":"crossref","first-page":"1511","DOI":"10.1016\/S0140-6736(03)13177-7","article-title":"Endothelial dysfunction and raised plasma concentrations of asymmetric dimethylarginine in pregnant women who subsequently develop pre-eclampsia","volume":"361","author":"Savvidou","year":"2003","journal-title":"Lancet"},{"key":"R22-20240830","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1046\/j.1469-0705.2000.00131.x","article-title":"Non-invasive assessment of endothelial function in normal pregnancy","volume":"15","author":"Savvidou","year":"2000","journal-title":"Ultrasound Obstet Gynecol"},{"key":"R23-20240830","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1186\/s12884-018-1685-5","article-title":"Oxidative stress and endothelial function in normal pregnancy versus pre-eclampsia, a combined longitudinal and case control study","volume":"18","author":"Mannaerts","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"key":"R24-20240830","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1080\/10641950701366841","article-title":"A longitudinal study using ultrasound to assess flow-mediated dilatation in normal human pregnancy","volume":"26","author":"Quinton","year":"2007","journal-title":"Hypertens Pregnancy"},{"key":"R25-20240830","doi-asserted-by":"crossref","first-page":"E126","DOI":"10.1055\/s-0031-1273488","article-title":"Maternal endothelial function in the course of pregnancy and postpartum \u2013Ultrasound-based longitudinal assessment using flow-mediated dilatation (FMD)","volume":"33","author":"Seeliger","year":"2012","journal-title":"Ultraschall Med"},{"key":"R26-20240830","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1080\/10641955.2018.1524480","article-title":"Serial profile of flow-mediated dilatation in primigravida for prediction of preeclampsia and gestational hypertension","volume":"37","author":"Malhotra","year":"2018","journal-title":"Hypertens Pregnancy"},{"key":"R27-20240830","first-page":"H821","article-title":"Normal pregnancy is associated with enhanced endothelium-dependent flow-mediated vasodilation","volume":"276","author":"D\u00f8rup","year":"1999","journal-title":"Am J Physiol"},{"key":"R28-20240830","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.amepre.2006.02.006","article-title":"Vascular structure and function in women:Relationship with body mass index","volume":"30","author":"Olson","year":"2006","journal-title":"Am J Prev Med"},{"key":"R29-20240830","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.ijcard.2009.11.034","article-title":"Serial estimation of flow mediated dilatation in women at risk of hypertensive disorders of pregnancy","volume":"149","author":"Kamat","year":"2011","journal-title":"Int J Cardiol"},{"key":"R30-20240830","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1136\/heartjnl-2013-304739","article-title":"Relationship between flow-mediated vasodilation and cardiovascular risk factors in a large community-based study","volume":"99","author":"Maruhashi","year":"2013","journal-title":"Heart"},{"key":"R31-20240830","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1007\/s00404-009-1349-9","article-title":"Risks of pregnancy and birth in obese primiparous women:An analysis of German perinatal statistics","volume":"283","author":"Briese","year":"2011","journal-title":"Arch Gynecol Obstet"},{"key":"R32-20240830","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/01.AOG.0000223180.53113.0f","article-title":"Association of obesity with pulmonary and nonpulmonary complications of pregnancy in asthmatic women","volume":"108","author":"Hendler","year":"2006","journal-title":"Obstet Gynecol"},{"key":"R33-20240830","doi-asserted-by":"crossref","first-page":"584","DOI":"10.4314\/ahs.v18i3.16","article-title":"Incidence and risk factors for pre-eclampsia in Jos Nigeria","volume":"18","author":"Musa","year":"2018","journal-title":"Afr Health Sci"},{"key":"R34-20240830","doi-asserted-by":"crossref","first-page":"17","DOI":"10.4314\/tjog.v19i1.14362","article-title":"Obstetric performance of Nigerian obese parturients","volume":"19","author":"Olayemi","year":"2002","journal-title":"Trop J Obstet Gynaecol"}],"container-title":["Journal of Medical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmu.jmu_10_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:59:05Z","timestamp":1787763545000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmu.jmu_10_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,6]]},"references-count":33,"URL":"https:\/\/doi.org\/10.4103\/jmu.jmu_10_23","relation":{},"ISSN":["0929-6441","2212-1552"],"issn-type":[{"value":"0929-6441","type":"print"},{"value":"2212-1552","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,6]]},"assertion":[{"value":"2023-02-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}