Endothelial dysfunction and arterial stiffness in pre-eclampsia demonstrated by the EndoPAT method

Cardiovasc J Afr. 2017;28(1):23-29. doi: 10.5830/CVJA-2016-047. Epub 2016 May 19.

Abstract

Objectives: The EndoPAT method has been used as a non-invasive method for assessing endothelial function in several non-pregnant populations. We investigated its possible use in assessing endothelial dysfunction in pre-eclampsia.

Methods: Two hundred and fifteen participants were recruited and grouped as pre-eclamptic cases (105) and normotensive controls (110). Endothelial function and arterial stiffness were measured as reactive hyperaemia index and augmentation index, respectively, using the EndoPAT 2000 machine.

Results: The reactive hyperaemia index was significantly lower in the pre-eclamptic group compared to the normotensive group (p < 0.05). Augmentation index on the other hand was significantly higher in the pre-eclamptic group compared to the normotensive group (p < 0.0001).

Conclusion: The EndoPAT method demonstrates endothelial dysfunction and arterial stiffness in pre-eclampsia.

MeSH terms

  • Adult
  • Blood Pressure / physiology*
  • Blood Pressure Determination / methods*
  • Endothelium, Vascular / physiopathology*
  • Female
  • Follow-Up Studies
  • Humans
  • Pre-Eclampsia / diagnosis
  • Pre-Eclampsia / physiopathology*
  • Pregnancy
  • Reproducibility of Results
  • Retrospective Studies
  • Vascular Stiffness / physiology*
  • Vasodilation / physiology*