Education, Science, Technology, Innovation and Life
Open Access
Sign In

Research on the Clinical Test Value of D-D and Coagulation Indicators in Patients with Hypertension during Pregnancy

Download as PDF

DOI: 10.23977/medbm.2024.020212 | Downloads: 18 | Views: 812

Author(s)

Liang Ming 1, Zhaofan Luo 1

Affiliation(s)

1 The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, 518000, China

Corresponding Author

Zhaofan Luo

ABSTRACT

Coagulation indicators not only change within the bodies of normal pregnant women but are also closely related to various pregnancy-related diseases, such as hypertensive disorders complicating pregnancy (HDCP). HDCP is a common condition during pregnancy, which can be categorized into gestational hypertension (GH) and preeclampsia (PE), among others. In addition to posing risks to both pregnant women and their fetuses around the time of birth, HDCP can have long-term effects on the mother. Studies suggest that patients with HDCP have abnormal coagulation function, primarily due to the production of various active factors resulting from placental dysfunction in these patients. Once these active factors enter maternal circulation, they lead to small vessel spasms, endothelial cell damage, and activated coagulation responses, causing HDCP patients to experience a pathological hypercoagulable state. Therefore, analyzing coagulation indicators and D-dimer (D-D) parameters in HDCP patients with varying degrees of severity before delivery is crucial for diagnosing HDCP. Based on this, this article provides a retrospective analysis of studies on D-D and coagulation indicators in patients with hypertensive disorders during pregnancy, aimed at providing clinical support for the early prediction and treatment of high-risk perinatal women to reduce the incidence of adverse pregnancy outcomes, ultimately lowering maternal and neonatal mortality and morbidity rates.

KEYWORDS

D-D; Coagulation Indicators; HDCP; Diagnostic Value

CITE THIS PAPER

Liang Ming, Zhaofan Luo, Research on the Clinical Test Value of D-D and Coagulation Indicators in Patients with Hypertension during Pregnancy. MEDS Basic Medicine (2024) Vol. 2: 84-89. DOI: http://dx.doi.org/10.23977/medbm.2024.020212.

REFERENCES

[1] Hypertension Professional Committee of Chinese Medical Doctor Association. Chinese expert consensus on blood pressure management of hypertensive diseases in pregnancy [J]. Chinese High Blood pressure Journal of Press, 2012, 20 (11): 1023
[2] Telang MA, Bhutkar SP, Hirwani RR. Analysis of patents on preeclampsia detection and diagnosis: a perspective [J]. Placenta, 2013, 34(1):2-8. 
[3] Wu W.W. Application of D-D and platelet parameters in hypertensive diseases during pregnancy [D]. Yan'an University, 2018.
[4] Gris J C, Bouvier S, Cochery-Nouvellon E, et al. The role of haemostasis in placenta-mediated complications [J]. Thromb Res, 2019, 181 Suppl 1: S10-S14.
[5] Fu M.Y. Changes and clinical application value of coagulation indexes in pregnant women during different pregnancy [D]. Zhengzhou University, 2022.
[6] Espinoza J, Vidaeff A, Pettker C M, et al. Gestational hypertension and preeclampsia[J]. Obstet Gynecol, 2020, 135(6): E237-E260
[7] Chen M.D. Application value of D-D and coagulation in pregnant women with hypertensive diseases in the third trimester of pregnancy [J]. Electronic Journal of Applied Gynecology Endocrinology, 2023, 10(17):109-111.
[8] Fan Li. Study on the clinical test effect of D-dimer and coagulation index in hypertensive patients during pregnancy [J]. Smart Health, 2020, 6(1):5-6.
[9] Zeng Mulan, Guo Xiaoyan. Changes of coagulation index and thromboelastogram index in hypertensive patients during pregnancy and its clinical significance [J]. Central South Journal of Medical Sciences, 2021, 49(6):710-712.
[10] Tao H., Shen D. Clinical value of D-D and coagulation index in pregnant women with hypertensive diseases during pregnancy [J]. Journal of Applied Gynecology Endocrinology, 2024, 11(13):88-90.
[11] Ge W.W. Efficacy of combined detection of D-D and coagulation index in the diagnosis of hypertensive diseases in pregnancy [J]. Chinese Journal of Medical Sciences, 2023, 35(08):109-112.
[12] Xu L.P. Correlation of plasma D-D and coagulation index in patients with pregnancy-induced hypertension and their influence on pregnancy outcomes [J]. Heilongjiang Medical Science, 2023, 46(06):56-58.
[13] Jing S. H. Clinical analysis of D-D and coagulation index in hypertensive patients during pregnancy [J]. Marriage, Fertility and Health, 2023, 29(01):7-9.
[14] Tao D. D., Zhou Y. Clinical value of D-D and coagulation levels in the third trimester of pregnancy-induced hypertension [J]. Guizhou Medicine, 2023, 47(12):1885-1886.
[15] Chen C. H. Correlation of plasma D-D and coagulation index in patients with pregnancy-induced hypertension and its influence on pregnancy outcome [J]. Journal of Rare Diseases, 2023, 30(07):52-53.
[16] He W.Y., Li G. Clinical detection value of D-D and coagulation index in hypertensive patients during pregnancy [J]. Guizhou Medicine, 2023, 47(03):423-425.
[17] Chen Yiming, Huang Jianxia, Shi Xiaochun, et al. Correlation and diagnostic value of maternal plasma thrombin, fibrinogen and D-dimer in late pregnancy with hypertensive diseases [J]. Health Research, 2021, 41 (1): 56-60.
[18] You Jinfeng, Li Fengyue, Zhu Qiumin. Alteration and meaning of D-dimer coagulation function and fibrinolytic phase index in patients with hypertensive diseases during pregnancy [J]. China Women and Children Health Care, 2021, 36 (4): 790-792.
[19] Huang H.C., Jiang Changlu, Jiang Wenli, et al. Clinical value of blood clotting 4, thrombus 3 and D-D in the treatment of gestational hypertension and gestational diabetes mellitus [J]. Electronic Journal of Applied Gynecology Endocrinology, 2023, 10(24):96-98.
[20] Chappell L C, Cluver C A, Kingdom J, et al. Pre-eclampsia[J]. The Lancet, 2021, 398(10297): 341-354.
[21] Ananth C V, Brandt J S, Hill J, et al. Historical and recent changes in maternal mortalitydue to hypertensive disorders in the United States, 1979 to 2018[J]. Hypertension (Dallas, Tex: 1979), 2021, 78(5): 1414-1422.
[22] Rana S, Lemoine E, Granger J P, et al. Preeclampsia: pathophysiology, challenges, and perspectives[J]. Circ Res, 2019, 124(7): 1094-1112.
[23] Kim S J, Ahn H J, Park J Y, et al. The clinical significance of D-dimer concentrations in patients with gestational hypertensive disorders according to the severity[J]. Obstet Gynecol Sci, 2017, 60(6): 542-548.

Downloads: 1586
Visits: 78226

Sponsors, Associates, and Links


All published work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2016 - 2031 Clausius Scientific Press Inc. All Rights Reserved.