Echocardiographic evaluation of cardiovascular hemodynamic in preeclampsia
Journal Title: Medpulse International Journal of Medicine - Year 2018, Vol 6, Issue 1
Abstract
Background: Pregnancy is associated with volume overload producing significant vascular and hemodynamic adaptations in cardiovascular physiology. Aims and Objectives: To study Echocardiographic evaluation of cardiovascular hemodynamic in preeclampsia. Methodology: After approval from institutional ethical committee this cross-sectional study was carried out in the patients of Preeclampsia referred for the Cardiovascular hemodynamic at tertiary health care centre. All the patients with the written explained consent were enrolled for the study during the one year duration i.e. January 2016 to January 2017. During the one year 35 random patients with preeclampsia and 35 random patients with normal pregnancy were enrolled into the study. The statistical analysis done by unpaired t-test and calculated by SPSS 19 version software. Result : Systolic parameters were LV ESV (ml) -28.21 ± 1.7 and 32.02 ± 11.23 (p>0.92 ), LV EDV (ml)-105.32 ± 3.32 and 110.12 ± 19.21 (p>0.80), SV (ml)-69.51 ± 5.12 and 72.45 ± 9.21 (p>0.92); CO (ml/min)-42.23 ± 3.41 and 70.23 ± 5.1 (p>0.001 ) LVM Diastolic (g)- 101.71 ± 24.52 and 137.11 ± 17.12 (p>0.01) , Systolic (g)- 81.23 ± 19.34 and 91.52 ± 5.67 (p>0.02), ARD (cm)-2.02 ± 0.115 and 3.12± 0.382 (p>0.01), LVOT (cm)- 1.62 ± 0.12 and 1.92 ± 0.12 (p>0.13), TVR (dyne, Sec cm5 ) -1195.12 ± 71.18 and 1387.80 ± 160.23 (p>0.01) respectively in Normotensive and hypertensive. The diastolic parameters like E wave, m/s were 0.512 ± 0.112 and 1.823 ± 0.112 (p>0.01), A Wave, m/s - 0.612 ± 0.112 and 0.881 ± 0.121 (p.0.001), E/A ratio-1.62 ± 0.132 and 1.9234 ± 0.571 (p>0.52), E Dec time, ms -129 ± 9.12 and 195.21 ± 50.12 (p>0.05), IVRT, ms-85.72 ± 6.12 and 98.11 ± 7.82 (p>0.05), E VTI, ms-12.32 ± 1.94 and 98.11 ± 7.82 (p>0.05), A VTI, ms-3.82 ± 0.72 and 7.12 ± 2.11 (p>0.05 ). Conclusion: It can be concluded from our study that significantly there were changes in systolic and diastolic parameters of the heart of preeclampsia patients as compared to normal pregnancy hence only blood pressure monitoring is not sufficient it should be accompanied with 2 D echo for monitoring and intervention
Authors and Affiliations
Shripad Vithalrao Dhanorkar, Balasaheb Eknathrao Karad
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