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Assessment of cardiac hemodynamic changes during pregnancy in normal and hypertensive women
العناوين الأخرى
تقييم حركية الدم القلبية لدى النساء الحوامل و اللاتي يعانين من ارتفاع ضغط الدم خلال الحمل
المؤلفون المشاركون
Umar, Zayd Qays
Abd al-Qadir, Bushra Khayr al-Din
المصدر
Annals of the College of Medicine Mosul
العدد
المجلد 40، العدد 2 (31 ديسمبر/كانون الأول 2018)، ص ص. 9-17، 9ص.
الناشر
تاريخ النشر
2018-12-31
دولة النشر
العراق
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background: The hypertensive disorders of pregnancy (HDP) are the most common complication of pregnancy and are major cause of maternal and perinatal morbidity and mortality.
Hypertension in pregnancy complicates about 10 % of all pregnancies worldwide.
Objective: This study aims to compare the hemodynamics of healthy pregnant women with hemodynamics of pregnant women with gestational hypertension (GH) or preeclampsia (PE).
Methods: A total of (120) women were included in this study; their ages range from (17 to 42) years; classified as follows: (60) normotensive pregnant women and (60) pregnant women with GH or PE.
2nd group is subdivided into: (30) hypertensive pregnant women who take antihypertensive treatment (methyldopa) and (30) those without antihypertensive medications.
All women subjected to echocardiographic examination by experience specialist.
Results: Compared with healthy pregnant women, untreated pregnant women with GH or PE were associated with increase mean arterial pressure (MAP) (82.81±9.083 mm Hg vs.
113.66±7.327 mm Hg, p ˂ 0.001), increase total peripheral vascular resistance (TPR) (1379.01±425.65 dyn.sec.cm-5 vs.
1733.99 ± 396.97 dyn.sec.cm-5, p˂0.001), increased cardiac output (CO) (5.01 ± 1.100 L / min vs.
5.55 ±1.42 L/min, p = 0.04), increased ejection fraction (EF) (64.9 ± 4.9 % vs.
67.4± 6.561%, p=0.04) and fractional shortening (FS) (34.76±3.492% vs.
37.34±4.21%, p = 0.003), increased left ventricular mass (LVM) (136.41±29.22 gm vs.
174.16±41.04 gm, p˂0.001) and decreased ratio of peak velocity of early transmitral flow to late transmitral flow (E/A ratio) (1.39±0.166 vs.
1.30±0.19, p=0.02).
The hypertensive pregnant patients treated with methyldopa; compared to non-treated group; showed a significant decreased in MAP (99.91±13.874 mm Hg vs.
113.66±7.325 mm Hg, p˂ 0.001, decreased TPR (1534.58 ± 349.47 dyn.sec.cm-5 vs.
1733.99 ± 396.97 dyn.sec.cm-5, p= 0.04), decreased EF (63.7±4.621% vs.
67.4±6.561%, p=0.014), decreased LVM (153.087±33.778 gm vs.
174.16±41.04 gm, p=0.03) and significant increase in E/A ratio (1.444±0.262 vs.
1.306±0.190, p=0.02).
Conclusion: Pregnant women with PE or GH have evidence of hemodynamic changes that justify routine echocardiographic assessment even in the absence of cardiac symptoms.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Abd al-Qadir, Bushra Khayr al-Din& Umar, Zayd Qays. 2018. Assessment of cardiac hemodynamic changes during pregnancy in normal and hypertensive women. Annals of the College of Medicine Mosul،Vol. 40, no. 2, pp.9-17.
https://search.emarefa.net/detail/BIM-901713
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Abd al-Qadir, Bushra Khayr al-Din& Umar, Zayd Qays. Assessment of cardiac hemodynamic changes during pregnancy in normal and hypertensive women. Annals of the College of Medicine Mosul Vol. 40, no. 2 (Dec. 2018), pp.9-17.
https://search.emarefa.net/detail/BIM-901713
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Abd al-Qadir, Bushra Khayr al-Din& Umar, Zayd Qays. Assessment of cardiac hemodynamic changes during pregnancy in normal and hypertensive women. Annals of the College of Medicine Mosul. 2018. Vol. 40, no. 2, pp.9-17.
https://search.emarefa.net/detail/BIM-901713
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 16-17
رقم السجل
BIM-901713
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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