RT journal article T1 Maternal serum nitric oxide levels associated with biochemical and clinical parameters in hypertension in pregnancy T2 Niveles séricos maternos de óxido nítrico asociados a parámetros bioquímicos y clínicos en la hipertensión del embarazo A1 Bartha, José Luis A1 Comino Delgado, Rafael A1 Bedoya, Francisco Javier A1 Barahona, Manel A1 Lubián López, Daniel María A1 Garcia-Benasach, Fátima A2 Materno-Infantil y Radiología K1 Nitric oxide K1 Preeclampsia K1 Hypertension K1 Pregnancy complications K1 Lymphocyte subpopulations K1 Perinatal outcome AB Objectives: To measure maternal serum concentrations of total nitrites, as an index of nitric oxide synthesis, in normal and hypertensive pregnant women, and to examine the correlation between these concentrations and several variables of clinical interest. Study design: A total of 60 women in four different groups were studied: 10 normotensive pregnant women, 17 pregnant women with preeclampsia, 18 pregnant women with gestational hypertension and 15 pregnant women with chronic hypertension. Serum nitrite levels were determined using the Griess reaction after reduction with nitrate reductase. Results: Serum nitrite levels were higher in preeclamptic women (34.11614 mmol/ l, P50.04), lower in chronic hypertensive women (19.5666.46 mmol/ l, P50.04) and similar in women with gestational hypertension (26.9769.44 mmol/ l) in comparison to the control group (25.3767.24 mmol/ l). Serum nitrite levels in preeclamptic women had significant positive correlations with hematocrit, fasting insulinemia, and apolipoprotein B and negative correlations with platelet count, serum phosphorus and glucose:insulin ratio. In pregnant women with chronic hypertension a negative correlation was found between serum nitrite levels and active partial thromboplastin time. In pregnant women with gestational hypertension, serum nitrite levels had negative correlations with birthweight and 24-h urine calcium, and positive correlations with mean corspuscular hemoglobin, 24-h urine sodium and maternal age. Conclusions: We suggest that in women with preclampsia, a higher maternal nitric oxide level may act as a compensatory mechanism against hemoconcentration and platelet aggregation and that nitric oxide production may be related to some metabolic events. In women with gestational hypertension, higher serum nitrite levels may be related to clinical and biochemical findings common in preeclampsia. In chronic hypertension, a lower maternal nitric oxide level is related to the status of coagulation.  1999 Elsevier Science Ireland Ltd. All rights reserved. PB Elsevier SN 0301-2115 YR 1999 FD 1999 LK http://hdl.handle.net/10498/38398 UL http://hdl.handle.net/10498/38398 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026