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Changes in erythrocyte deformability in normal pregnancy and pregnancy-induced hypertension, as revealed by electron spin

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Acta Medica Okayama

Volume 48, Issue 1 1994 Article 2

F EBRUARY 1994

Changes in erythrocyte deformability in normal pregnancy and pregnancy-induced hypertension, as revealed by electron spin

resonance.

Yukiteru Mitsui

Katsuto Eguchi

Yuji Hiramatsu

Sumihare Noji

∗∗

Okayama University,

Okayama University,

Okayama Univeristy,

∗∗Okayama University,

Copyright c1999 OKAYAMA UNIVERSITY MEDICAL SCHOOL. All rights reserved.

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Changes in erythrocyte deformability in normal pregnancy and pregnancy-induced hypertension, as revealed by electron spin

resonance.

Yukiteru Mitsui, Katsuto Eguchi, Yuji Hiramatsu, and Sumihare Noji

Abstract

To study changes in hemorheologic properties during pregnancy, erythrocyte deformability was measured by an electron spin resonance (ESR) method. The results obtained by this method showed that erythrocyte deformability in normal pregnancy decreased significantly in the first trimester compared with nonpregnant controls, and continued to decrease slightly as pregnancy progressed. On the other hand, erythrocyte deformability in severe pregnancy-induced hyperten- sion (PIH) was significantly lower than that in the third trimester of normal pregnancy. Addition- ally, we found that the hematocrit level needed for erythrocytes to exhibit high deformability is lower during pregnancy. These results suggest that hemodilution in normal pregnancy, so-called hydremia, compensates for the decrease in erythrocyte deformability. Conversely, since erythro- cytes become less deformable in a hemoconcentration condition in severe PIH, microcirculatory disturbance of various organs, including the uteroplacental unit, may occur. The lowered erythro- cyte deformability may be one of the important pathologic features in PIH.

KEYWORDS:erythrocyte deformability, electron spin resonance, pregnancy-induced hyperten- sion, hydremia

PMID: 8191911 [PubMed - indexed for MEDLINE]

Copyright (C) OKAYAMA UNIVERSITY MEDICAL SCHOOL

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1 Mitsui et al.: Changes in erythrocyte deformability in normal pregnancy and preg

Produced by The Berkeley Electronic Press, 1994

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2 Acta Medica Okayama, Vol. 48 [1994], Iss. 1, Art. 2

http://escholarship.lib.okayama-u.ac.jp/amo/vol48/iss1/2

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3 Mitsui et al.: Changes in erythrocyte deformability in normal pregnancy and preg

Produced by The Berkeley Electronic Press, 1994

(6)

4 Acta Medica Okayama, Vol. 48 [1994], Iss. 1, Art. 2

http://escholarship.lib.okayama-u.ac.jp/amo/vol48/iss1/2

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5 Mitsui et al.: Changes in erythrocyte deformability in normal pregnancy and preg

Produced by The Berkeley Electronic Press, 1994

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