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Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 10

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Ginecol Obstet Mex 2023; 91 (10)

Changes in cardiac structure and function assessed by echocardiography in patients with preeclampsia

Morales ÁJ, Zazueta AV, Lugo MJA

Language: Spanish
References: 27
Page: 723-735
PDF size: 230.30 Kb.


ABSTRACT

Objective: To analyze the changes in cardiac structure and function assessed by echocardiography in patients with pre-eclampsia.
Materials and Methods: Observational, analytical, prospective and longitudinal study carried out in patients with pre-eclampsia attending the Hospital de Especialidades 2 Lic. Luis Donaldo Colosio Murrieta, Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, between September and December 2021. Participants were selected non-probabilistically through consecutive case series. To describe the changes, echocardiograms were performed in the immediate postpartum period, one month and three months later. Descriptive statistics and inferential analysis, Pearson's χ2 and t Student were used to assess differences. A value of p ‹ 0.05 was considered significant.
Results: Forty-three patients with pregnancies complicated by pre-eclampsia were studied. All had a diagnosis of pre-eclampsia with severity data. The median gestational age at diagnosis was 36 (RIQ 6) and 37 (RIQ 5) weeks. Early onset pre-eclampsia was classified in 17 patients. Systolic and diastolic blood pressure were 160 (RIQ 10) and 102 mmHg (RIQ 15), respectively. Only 9 patients received antihypertensive treatment during pregnancy.
Conclusions: There were changes in cardiac structure and function assessed by electrocardiogram during the puerperium, characterized by decreased global longitudinal myocardial deformation, increased left ventricular end-diastolic volume and indexed left ventricular end-systolic volume, and altered ventricular geometry. These changes persisted at follow-up one month postpartum and reversed at three months postpartum.


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