Effects of nifedipine and sildenafil on placental hemodynamics and gas exchange during fetal hypoxemia in a chronic sheep model.


Journal

Placenta
ISSN: 1532-3102
Titre abrégé: Placenta
Pays: Netherlands
ID NLM: 8006349

Informations de publication

Date de publication:
15 01 2020
Historique:
received: 29 09 2019
revised: 11 12 2019
accepted: 15 12 2019
entrez: 15 2 2020
pubmed: 15 2 2020
medline: 3 2 2021
Statut: ppublish

Résumé

We hypothesized that nifedipine and sildenafil would have no detrimental effects on placental hemodynamics and gas exchange under fetal hypoxemia. In 33 chronically instrumented fetal sheep, placental volume blood flow (Q Hypoxemia significantly decreased fetal pO In fetal hypoxemia, sildenafil had detrimental effects on placental hemodynamics that disturbed placental gas exchange. Nifedipine did not alter placental hemodynamics in hypoxemia but disturbed placental gas exchange upon returning to normoxemia. Umbilical artery vascular impedance did not reflect alterations in placental hemodynamics.

Identifiants

pubmed: 32056540
pii: S0143-4004(19)30725-8
doi: 10.1016/j.placenta.2019.12.014
pii:
doi:

Substances chimiques

Vasodilator Agents 0
Sildenafil Citrate BW9B0ZE037
Nifedipine I9ZF7L6G2L

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

103-108

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest None declared.

Auteurs

Leena Alanne (L)

Department of Obstetrics and Gynecology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.

Amarnath Bhide (A)

Department of Obstetrics and Gynecology, St. George's Hospital, London, United Kingdom; Women's Health & Perinatal Research Group, Department of Clinical Medicine, UiT-The Arctic University of Norway, Tromsø, Norway.

Jonna Hoffren (J)

Department of Obstetrics and Gynecology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.

Juulia Lantto (J)

Department of Obstetrics and Gynecology, Oulu University Hospital and University of Oulu, Oulu, Finland.

Heikki Huhta (H)

Department of Surgery, Oulu University Hospital, Oulu, Finland.

Merja Kokki (M)

Department of Anesthesiology, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.

Mervi Haapsamo (M)

Department of Obstetrics and Gynecology, Satakunta Central Hospital, Pori, Finland.

Ganesh Acharya (G)

Women's Health & Perinatal Research Group, Department of Clinical Medicine, UiT-The Arctic University of Norway, Tromsø, Norway; Department of Clinical Science, Intervention & Technology, Karolinska Institute and Center for Fetal Medicine Karolinska University Hospital, Stockholm, Sweden.

Juha Räsänen (J)

Department of Obstetrics and Gynecology, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Obstetrics and Gynecology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. Electronic address: juha.rasanen@oulu.fi.

Articles similaires

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male
Humans Meals Time Factors Female Adult

Classifications MeSH