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Digoxin-like immunoreactive factor in twin and pregnancy-associated hypertensive pregnancies.

Abstract
The objective of this study was to measure maternal total digoxin-like immunoreactive factor levels in singleton pregnancies with or without hypertension and in twin pregnancies. Plasma digoxin-like immunoreactive factor was measured in 113 third-trimester patients: 51 normotensives, 20 preeclamptics, 19 with latent or chronic hypertension, and 23 with twin pregnancies. The concentration of total digoxin-like immunoreactive factor in the twin gestations (1143 +/- 249 pg/mL) was significantly higher than that in either the normotensive pregnancies (890 +/- 161 pg/mL) (P less than .001) or in the hypertensive pregnancies (903 +/- 256 pg/mL) (P less than .01). However, there were no significant differences in digoxin-like immunoreactive factor levels between the normotensive and hypertensive groups. A trend of higher, although not statistically significant, levels of digoxin-like immunoreactive factor was noted in the chronic hypertensive group as compared with the preeclamptic patients (957 +/- 212 versus 852 +/- 288 pg/mL). We therefore conclude that digoxin-like immunoreactive factor does not contribute significantly to the pathogenesis or prediction of preeclampsia. The increased amount of digoxin-like immunoreactive factor in twin pregnancies may reflect a contribution from multifetal origin, or might be a physiologic adaptive mechanism allowing higher cardiac output by a possible cardiotropic effect.
AuthorsP Jakobi, N Krivoy, A Weissman, E Paldi
JournalObstetrics and gynecology (Obstet Gynecol) Vol. 74 Issue 1 Pg. 29-33 (Jul 1989) ISSN: 0029-7844 [Print] United States
PMID2733937 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Blood Proteins
  • Cardenolides
  • Saponins
  • digoxin-like factors
  • Digoxin
Topics
  • Adult
  • Blood Proteins (analysis)
  • Cardenolides
  • Digoxin
  • Female
  • Humans
  • Hypertension (blood)
  • Pre-Eclampsia (blood)
  • Pregnancy
  • Pregnancy Complications, Cardiovascular (blood)
  • Pregnancy Trimester, Third
  • Pregnancy, Multiple
  • Prospective Studies
  • Saponins
  • Twins

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