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Increased cardiorespiratory coordination in preeclampsia.

Authors :
Berg K
Kraemer JF
Riedl M
Stepan H
Kurths J
Wessel N
Source :
Physiological measurement [Physiol Meas] 2017 May; Vol. 38 (5), pp. 912-924. Date of Electronic Publication: 2017 Mar 06.
Publication Year :
2017

Abstract

Preeclampsia is one of the main sources of morbidity in pregnancy with a high mortality rate without a known ultimate cause. Using a corpus including 927 measurements of pregnant women with and without different hypertonic diseases at multiple stages of pregnancy, we utilised a new approach to analyse cardiorespiratory coordination. Since the recording quality of respiratory effort was limited due to a high signal to noise ratio, we applied an ECG derived respiration approach to create an ersatz respiratory signal. After applying the few available recordings with a sufficiently high quality of the respiratory signal to validate the substitute, coordigrams were calculated and quantified by utilising an epsilon method. We showed significant (pā€‰ā€‰<ā€‰ā€‰0.05) differences in the coordination in a matched (BMI, age, gestational week) comparison of preeclamptic and healthy subjects. Hopefully future applications of and improvements on these methods are able to create a fast and convenient prediction methodology to reduce the impact of this disease as well as help in the determination of its underlying cause.

Details

Language :
English
ISSN :
1361-6579
Volume :
38
Issue :
5
Database :
MEDLINE
Journal :
Physiological measurement
Publication Type :
Academic Journal
Accession number :
28263182
Full Text :
https://doi.org/10.1088/1361-6579/aa64b0