Antihypertensive Treatment of Pre-eclampsia;
[Pages:155]Antihypertensive Treatment of Pre-eclampsia; Pharmacological aspects of ketanserin and nicardipine
Lidwien Hanff
? Hanff, L.M. ISBN: 90-8559-156-2
Lay-out and printed by Optima Grafische Communicatie, Rotterdam Cover: ? Marc Chagall, "Maternity" 1912-1913, c/o Beeldrecht Amsterdam 2006.
Antihypertensive Treatment of Pre-eclampsia; Pharmacological aspects of ketanserin and nicardipine
Antihypertensieve behandeling van pre-eclampsie; Farmacologische aspecten van ketanserine en nicardipine
Proefschrift
ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam
op gezag van de rector magnificus Prof.Dr. S.W.J. Lamberts
en volgens besluit van het College voor Promoties.
De openbare verdediging zal plaatsvinden op woensdag 28 juni 2006 om 11.45 uur
door Lidwien Marieke Hanff
geboren te Venlo
PROMOTIECOMMISSIE
Promotoren:
Prof.dr. A.G. Vulto Prof.dr. E.A.P. Steegers
Overige leden:
Prof.dr. A.H.J. Danser Prof.dr. H.W. Bruinse Prof.dr. J.B. van Goudoever
Copromotor: Dr. W. Visser
Voor mijn ouders
CONTENTS
Chapter 1
9
Pharmacological management of severe pre-eclampsia;
Introduction and aims and scope of the thesis.
Chapter 2
Insufficient efficacy of intravenous ketanserin in severe early-onset pre-eclampsia.
Chapter 3
Simultaneous quantitative analysis of ketanserin and ketanserinol in plasma by RP-HPLC with fluorescence detection.
Chapter 4
Population pharmacokinetics of ketanserin in pre-eclamptic patients and its association with antihypertensive response.
Chapter 5
Functional reactivity of 5-HT receptors in human umbilical cord and maternal subcutaneous fat arteries after normotensive or pre-eclamptic pregnancy.
Chapter 6
Ketanserin in pre-eclamptic patients; transplacental transmission, transfer in breast milk and disposition in neonates.
Chapter 7
The effect of maternal ketanserin treatment on foetal 5-HT receptor function in umbilical cord artery of pre-eclamptic patients.
Chapter 8
Intravenous use of the calcium-channel blocker nicardipine as second-line treatment in severe early-onset pre-eclamptic patients.
Chapter 9
Nicardipine in pre-eclamptic patients: Transplacental transmission and disposition in breast milk.
Chapter 10
General discussion and suggestions for future research
29 39 49 61 79 89 101 119 129
Summary and Conclusions
137
Appendices
143
Samenvatting
144
Dankwoord
151
List of publications related to the thesis
153
About the author
155
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