title: [Profile dipper/non-dipper in patient with severe preeclampsia, eclampsia and HELLP syndrome during pregnancy and puerperium].
abstract: BACKGROUND
  Blood pressure (BP) has a circadian rhythm, decreases at night and increases in the morning (dipper), have been observed in patients with impaired in this profile, increased at night and lower in the morning (no dipper) have increased cardiovascular risk. Preeclampsia-eclampsia complicates about 7% of pregnancies, preeclampsia is known to reverse the normal circadian cycle of the BP.
  
  
  OBJECTIVE
  To determine the profile dipper/non-dipper in patients with severe preeclampsia, eclampsia and HELLP syndrome patients in Intensive Care and Obstetrics Hospital Juárez of México.
  
  
  METHODS
  15 patients were reviewed, 10 with severe preeclampsia, 4 with HELLP syndrome and 1 eclampsia, systolic, diastolic, mean and pulse PA were analyzed during the day/night and pregnancy/postpartum. Using ratios pregnancy day/night pregnancy, puerperium day/night postpartum dipper/non-dipper profile is determined
  
  
  RESULTS
  Maternal age 30 ± 6.34 years, 7 primiparous (46%) 8 multiparous (54%), pregnancy was 31.67 ± 4.59 weeks. In all but two results in the ratio of pulse pressure during pregnancy was not the result dipper raiser and did not change during the postpartum period.
  
  
  CONCLUSIONS
  in all patients during pregnancy profile was observed no dipper no change during the postpartum period. The established treatment did not modify this result. So it is appropriate to establish strategies to change this behavior and try to get the patient to regain normal circadian BP rhythm.
authors.forename: José María
authors.initials: JM
authors.lastname: Tovar-Rodríguez
authors.forename: Leobardo
authors.initials: L
authors.lastname: Valle-Molina
authors.forename: Victor Manuel
authors.initials: VM
authors.lastname: Vargas-Hernández
authors.forename: Luis Edmundo
authors.initials: LE
authors.lastname: Hernández-Vivar
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Hernández-Aldana
authors.forename: Mario Adán
authors.initials: MA
authors.lastname: Moreno-Eutimio
mesh_terms: D000328:Adult; D001794:Blood Pressure; D002940:Circadian Rhythm; D004461:Eclampsia / Q000503:physiopathology*; D005260:Female; D017359:HELLP Syndrome / Q000503:physiopathology*; D006801:Humans; D008137:Longitudinal Studies; D049590:Postpartum Period / Q000502:physiology*; D011225:Pre-Eclampsia / Q000503:physiopathology*; D011247:Pregnancy; D012189:Retrospective Studies; D012720:Severity of Illness Index