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Longitudinal Assessment of D-dimer and Plasminogen Activator Inhibitor Type-1 Plasma Levels in Pregnant Women with Risk Factors for Preeclampsia

Abstract

Objective: Investigating D-Dimer/D-Di and plasminogen activator inhibitor type-1/PAI-1 levels throughout gestation in women with preeclampsia/PE risk factors.

Methods: D-Di and PAI-1 plasma levels were determined in 28 women at 12-19, 20-29, 30-34 and 35-40 weeks of gestation.

Results: D-Di was lower at 12-19 weeks and higher at 30-34 weeks in women who developed PE versus who did not develop it. D-Di increased throughout gestation in both groups, peaking earlier in pregnant women who developed PE versus who did not develop it. PA1-1 increased across gestation, but it didn't differ between groups.

Conclusion: D-Di was able to discriminate these groups of women at 12-19 and 30-34 weeks of gestation.

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