Prenatal and cardiovascular outcome in pregnant patients with dyspnea
Background: Pregnancy is a physiologic phenomenon in women, which leads to significant hemodynamic changes in cardiovascular system. Many patients reach reproductive age due to improvements in diagnosis and treatment of cardiac diseases. Dyspnea is a common complaint in pregnant women and can be a s...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
|
| Series: | Research in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2015;volume=4;issue=2;spage=1;epage=1;aulast=Tara;type=0 |
| _version_ | 1818501765584125952 |
|---|---|
| author | Fateme Tara Farveh Vakilian Fateme Moosavi-Baigy Maryam Salehi Toktam Moghiman |
| author_facet | Fateme Tara Farveh Vakilian Fateme Moosavi-Baigy Maryam Salehi Toktam Moghiman |
| author_sort | Fateme Tara |
| collection | DOAJ |
| description | Background: Pregnancy is a physiologic phenomenon in women, which leads to significant hemodynamic changes in cardiovascular system. Many patients reach reproductive age due to improvements in diagnosis and treatment of cardiac diseases. Dyspnea is a common complaint in pregnant women and can be a sign to refer patients for an easy and feasible workup such as echocardiography.
Objectives: We aimed to evaluate dyspnea as a common complaint in pregnant women and its prenatal outcome.
Patients and Methods: Pregnant patients with dyspnea NYHA class > II were included. A thorough physical examination and routine lab tests were performed. Echocardiography was performed to rule out previous cardiac and lung diseases, anemia and thyroid disorders. It was repeated monthly till one month after delivery. Collected data was analyzed after one year.
Results: Fifty patients were enrolled with a mean age of 30.49 ± 6.34 years. 58% of them, had NYHA class II, 40% III and 2% IV. Pulmonary rales were diagnosed in 8% and palpitation in 80%, while all had normal lab tests. Mean EF value was 52.26 ± 6.80; 54% had valvular diseases and 12% had pulmonary hypertension. Cesarean section was performed in 26, preeclampsia occurred in 7 and 21 had preterm labor. Three neonates had anomalies and six had an Apgar score below six. Mean birth weight was 2897 ± 540.00 grams. A significant association was found between NYHA Class with valvular disease (P = 0.007) and sys PAP (P = 0.036); however, it had an inverse correlation with LV EF (P = 0.06).
Conclusions: Dyspnea may coincide with cardiac dysfunction and poor prenatal outcome in pregnant patients. In such cases echocardiography is a feasible screening tool. |
| first_indexed | 2024-12-10T21:00:44Z |
| format | Article |
| id | doaj.art-5b8af45574a9490b91381a2f755da00d |
| institution | Directory Open Access Journal |
| issn | 2251-9572 2251-9580 |
| language | English |
| last_indexed | 2024-12-10T21:00:44Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Research in Cardiovascular Medicine |
| spelling | doaj.art-5b8af45574a9490b91381a2f755da00d2022-12-22T01:33:49ZengWolters Kluwer Medknow PublicationsResearch in Cardiovascular Medicine2251-95722251-95802015-01-01421110.5812/cardiovascmed.20950Prenatal and cardiovascular outcome in pregnant patients with dyspneaFateme TaraFarveh VakilianFateme Moosavi-BaigyMaryam SalehiToktam MoghimanBackground: Pregnancy is a physiologic phenomenon in women, which leads to significant hemodynamic changes in cardiovascular system. Many patients reach reproductive age due to improvements in diagnosis and treatment of cardiac diseases. Dyspnea is a common complaint in pregnant women and can be a sign to refer patients for an easy and feasible workup such as echocardiography. Objectives: We aimed to evaluate dyspnea as a common complaint in pregnant women and its prenatal outcome. Patients and Methods: Pregnant patients with dyspnea NYHA class > II were included. A thorough physical examination and routine lab tests were performed. Echocardiography was performed to rule out previous cardiac and lung diseases, anemia and thyroid disorders. It was repeated monthly till one month after delivery. Collected data was analyzed after one year. Results: Fifty patients were enrolled with a mean age of 30.49 ± 6.34 years. 58% of them, had NYHA class II, 40% III and 2% IV. Pulmonary rales were diagnosed in 8% and palpitation in 80%, while all had normal lab tests. Mean EF value was 52.26 ± 6.80; 54% had valvular diseases and 12% had pulmonary hypertension. Cesarean section was performed in 26, preeclampsia occurred in 7 and 21 had preterm labor. Three neonates had anomalies and six had an Apgar score below six. Mean birth weight was 2897 ± 540.00 grams. A significant association was found between NYHA Class with valvular disease (P = 0.007) and sys PAP (P = 0.036); however, it had an inverse correlation with LV EF (P = 0.06). Conclusions: Dyspnea may coincide with cardiac dysfunction and poor prenatal outcome in pregnant patients. In such cases echocardiography is a feasible screening tool.http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2015;volume=4;issue=2;spage=1;epage=1;aulast=Tara;type=0Pregnancy; Dyspnea; Echocardiography |
| spellingShingle | Fateme Tara Farveh Vakilian Fateme Moosavi-Baigy Maryam Salehi Toktam Moghiman Prenatal and cardiovascular outcome in pregnant patients with dyspnea Research in Cardiovascular Medicine Pregnancy; Dyspnea; Echocardiography |
| title | Prenatal and cardiovascular outcome in pregnant patients with dyspnea |
| title_full | Prenatal and cardiovascular outcome in pregnant patients with dyspnea |
| title_fullStr | Prenatal and cardiovascular outcome in pregnant patients with dyspnea |
| title_full_unstemmed | Prenatal and cardiovascular outcome in pregnant patients with dyspnea |
| title_short | Prenatal and cardiovascular outcome in pregnant patients with dyspnea |
| title_sort | prenatal and cardiovascular outcome in pregnant patients with dyspnea |
| topic | Pregnancy; Dyspnea; Echocardiography |
| url | http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2015;volume=4;issue=2;spage=1;epage=1;aulast=Tara;type=0 |
| work_keys_str_mv | AT fatemetara prenatalandcardiovascularoutcomeinpregnantpatientswithdyspnea AT farvehvakilian prenatalandcardiovascularoutcomeinpregnantpatientswithdyspnea AT fatememoosavibaigy prenatalandcardiovascularoutcomeinpregnantpatientswithdyspnea AT maryamsalehi prenatalandcardiovascularoutcomeinpregnantpatientswithdyspnea AT toktammoghiman prenatalandcardiovascularoutcomeinpregnantpatientswithdyspnea |