Echocardiography changes in hypertensive disorder of pregnancy

Abstract

Background: Acute preeclampsia is associated with significantly higher prevalence of asymptomatic global left ventricular (LV) abnormal function and myocardial injury than uneventful pregnancy. Objective: To evaluate the LV changes in pre-eclamptic women and to compare with normotensive women. Methods: This study was conducted in the Department of Obstetrics and Gynecology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar. Two hundred women were in each group: 200 patients with preeclampsia as cases and 200normotensive patients as controls. Results: The mean LV end-systolic volume (LV ESV) in pre-eclamptic women was 33.45 ± 2.8, LV end-diastolic volume (LV EDV) was 106 ± 3.01, and LV systolic mass (LV Ms) was 87.1 ± 1.65 when compared to normotensive women LV ESV 27 ± 0.74, (P < 0.0001) LV EDV 106.2 ± 0.43, (P -0.3528), and LV Ms 84 ± 0.56 (P < 0.0001). Conclusion: This study emphasizes the importance of identifying this subset of preeclamptic patients with echo changes who are at higher risk of developing cardiovascular complications later in life by undergoing echocardiography.

Keywords

• echocardiography
• echocardiography
• pregnancy