PubMed · 1979 · 37 citations · 0 references
MedicineMaternal HealthObstetricsMaternal-fetal MedicineReproductive MedicineReproductive PhysiologyEclampsiaFetal PhysiologyMaternal-fetal PhysiologyPregnancyPregnancy PhysiologyRenal HemodynamicsAortic Diameter AssessmentArterial Blood Pressure MeasurementBlood PressureGestational HemodynamicsGuinea Pig ModelsMaternal Cardiovascular PhysiologyUterine IschemiaUteroplacental Ischemia
In this study, normal nonpregnant, normal full-term pregnant, fasting ketotic and spontaneous pregnancy toxemic guinea pigs were compared to define the mechanism of this disease. In addition to conventional clinical, laboratory and pathologic studies, arterial blood pressure (thoracic and abdominal aortic) measurements and angiography were used. The results showed that in spontaneous cases of pregnancy toxemia, there is an aortic compression just caudal to the renal arteries. This compression reduced the aortic diameter by 22% of prerenal level as compared to 10% for fasting ketotic and normal pregnant guinea pigs. The aortic compression also resulted in a 30% postcompression reduction in blood pressure. No pressure differences were seen in the other groups. The postulated etiology for true toxemia of pregnancy in guinea pigs is, therefore, similar to that of man where aortic compression produces uterine ischemia and the resultant syndrome.