Gamma Glutamyl Transferase and Lactate Dehydrogenase as Biochemical Markers of Severity of Preeclampsia
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Gamma Glutamyl Transferase and Lactate Dehydrogenase as Biochemical Markers of Severity of Preeclampsia

Authors: S. M. Munde, N. R. Hazari, A. P. Thorat, S. B. Gaikwad, V. S. Hatolkar

Abstract:

This study was conducted to examine the possible role of serum Gamma-glutamyltransferase (GGT) and Lactate dehydrogenase (LDH) in the prediction of severity of preeclampsia. The study group comprised of 40 preeclamptic cases (22 with mild and 18 with severe) and 40 healthy normotensive pregnant controls. Serum samples of all the cases were assayed for GGT and LDH. Demographic, hemodynamic and laboratory data as well as serum GGT and LDH levels were compared among the three groups.

The results indicated that severe preeclamptic cases had significantly increased levels of serum GGT and LDH. The symptoms in severe preeclamptic women were significantly increased in patients with GGT > 70 IU/L and LDH >800 IU/L. Elevated levels of serum GGT and LDH can be used as biochemical markers which reflects the severity of preeclampsia and useful for the management of preeclampsia to decrease maternal and fetal morbidity and mortality.

Keywords: Severe Preeclampsia, GGT, LDH.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1091242

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References:


[1] John R. Barton, Baha M. Sibai, et al. Management of Mild Preeclampsia. Clinical Obstetrics and Gynecology 1999; 43(3):455-69.
[2] Cunningham FG, Gant NF, et al. Williams Obstetrics. 21st International edn.2003: 567-615.
[3] Alokendu Chatterjee, Geeta Basu. Management of Severe Hypertension in Pregnancy. The Journal of Obstetrics and Gynecology of India 2000; 50(5):111-15.
[4] Var A, Yildirim Y, Onur E, et al. Endothelial Dysfunction in Preeclampsia: Increased Homocysteine and Decreased Nitric Acid Levels. Gynecol Obstet Invest 2003; 56:221-24.
[5] De Boer R, Ten Cate JW, et al. Coagulation Studies in Syndrome of Hemolytic, Elevated Liver Enzymes and Low Platelets. Br. J. ObstetGynecol1991; 98:42-48.
[6] Weinstein L. Preeclampsia-Eclampsia with Hemolysis Elevated Liver Enzymes and Thrombocytopenia. ObstetGynecol1985; 66: 657-59.
[7] D. Churchill, Kilby MD, et al. Gamma-Glutamyl Transferase Activity in Gestational Hypertension. Br.J. Obstet Gynecol. 1994; 101: 251-53.
[8] Yamada Y, Ishizaki M, Kido T, et al. Relationship between Gamma-Glutamyl Transferase Activity and Blood Pressure in Middle Aged Male and Female Non-Drinkers. J.HumHypertens1990; 4:609-14.
[9] Peck K, Shinton R, Beevers DG. Is Serum Gamma- Glutamyl Transferase a Good Marker of Alcohol Intake in Stroke Patients? Postgrad Med. J.1990; 66:710-13.
[10] H. S. Quablan and Associates. Lactic Dehydrogenase as a Biochemical Marker of Adverse Pregnancy Outcome in Severe Preeclampsia. Med. Sci. Monit 2005; (8): CR 393-397.
[11] Peralta Pedrero MI, Basavilvazo et al. Clinical Significance of Laboratory Determination Sinpreeclamptic Patients. Gnecol Obstet Mex, 2004; 72: 57-62.
[12] Beyer C: Lactate Dehydrogenase Isoenzymes in Serum of Patients with Preeclampsia/ Eclampsia Complicated by the HELLP Syndrome. Clin. Chim. Acta, 1991; 202:119-20.
[13] Makkonen M, Penttila IM, Gastren O. Serum Lactic Dehydrogenase and Isoenzymes during Pregnancy and Labour. Acta. Obstet Gynecol Scand, 1980; 59:97-102.
[14] Rosalki SB, et al. Determination of Serum Gamma-Glutamyl Transferase Activity Used in Clinical Applications. Ann. Clin. Biochem. 1970:143-47.
[15] Z. Klin Chem Clin Biochem.1970; 8:658.
[16] Robillard PY, Dekker GA, Hulsey TC. Revisiting the Epidemiological Standards of Preeclampsia: Primigravidity or Primipaternity? Eur J Obstet Gynecol Reprod Biol, 1999; 84: 37-41
[17] Steven G Gabbe, Jennifer R Niebyl, Joe Leigh Simpson .Obstetrics: Normal and Problem pregnancies. IIndedn, 1991: 993- 1057.
[18] Minakami H, Sato T, et al. Clinical Significance of SGOT Elevation and Thrombocytopenia in Preeclamptic Patients. Nippon Sanka Funjinka Gakkai Zasshi, 1988; 40(6): 754-60.
[19] Norwitz ER Hsu CD, Repke JT: Acute Complications of Preeclampsia. Clin. Obstet Gynecol, 2002; 45: 308-29.