Doppler Echocardiographic Assessment of Pregnant Women with Chronic Arterial Hypertension
OBJECTIVE: To assess structural and functional cardiac changes in asymptomatic pregnant women with chronic arterial hypertension (CAH). METHODS: One hundred pregnant women with CAH underwent conventional Doppler echocardiography. The Student t test was used to compare them with 29 normotensive pregn...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2002-12-01
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| Series: | Arquivos Brasileiros de Cardiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001500003 |
| _version_ | 1818130323535298560 |
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| author | Nádia Cristiane de Mattia Regina Lúcia Barbin Vera Therezinha M. Borges José Carlos Peraçoli Beatriz B. Matsubara |
| author_facet | Nádia Cristiane de Mattia Regina Lúcia Barbin Vera Therezinha M. Borges José Carlos Peraçoli Beatriz B. Matsubara |
| author_sort | Nádia Cristiane de Mattia |
| collection | DOAJ |
| description | OBJECTIVE: To assess structural and functional cardiac changes in asymptomatic pregnant women with chronic arterial hypertension (CAH). METHODS: One hundred pregnant women with CAH underwent conventional Doppler echocardiography. The Student t test was used to compare them with 29 normotensive pregnant women (NT) in their third gestational trimester. RESULTS: Systolic (SBP; mmHg) and diastolic (DBP; mmHg) blood pressure values were higher (p<0.001) in the CAH pregnant women (SBP: 139±19 and DBP: 92± 18) as compared with those of the NT group (SBP: 112±10 and DBP: 74±9). A significant enlargement of the left atrium (4.10±0.48 cm vs 3.6±0.3 cm; p<0.001) and of the left ventricular normalized mass (59.6±19.7 g/cm2,7 vs 41.9±3.4 g/cm2,7; p<0.001) was observed. Cardiac output (CO, L/min) and systolic volume (SV, mL) were significantly higher in the CAH group (CO: 6.0±1.54 vs 4.9±2.1, p<0.01; SV: 77.3±19.8 vs 56.5±25.8, p<0.001). CONCLUSION: Chronic hypertensive pregnant women have structural and functional cardiac changes that justify routine cardiologic assessment, even in the absence of cardiopulmonary symptoms. |
| first_indexed | 2024-12-11T08:03:13Z |
| format | Article |
| id | doaj.art-907e22d5e42148f094193abe7e43f276 |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-11T08:03:13Z |
| publishDate | 2002-12-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-907e22d5e42148f094193abe7e43f2762022-12-22T01:15:03ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702002-12-0179657958410.1590/S0066-782X2002001500003Doppler Echocardiographic Assessment of Pregnant Women with Chronic Arterial HypertensionNádia Cristiane de MattiaRegina Lúcia BarbinVera Therezinha M. BorgesJosé Carlos PeraçoliBeatriz B. MatsubaraOBJECTIVE: To assess structural and functional cardiac changes in asymptomatic pregnant women with chronic arterial hypertension (CAH). METHODS: One hundred pregnant women with CAH underwent conventional Doppler echocardiography. The Student t test was used to compare them with 29 normotensive pregnant women (NT) in their third gestational trimester. RESULTS: Systolic (SBP; mmHg) and diastolic (DBP; mmHg) blood pressure values were higher (p<0.001) in the CAH pregnant women (SBP: 139±19 and DBP: 92± 18) as compared with those of the NT group (SBP: 112±10 and DBP: 74±9). A significant enlargement of the left atrium (4.10±0.48 cm vs 3.6±0.3 cm; p<0.001) and of the left ventricular normalized mass (59.6±19.7 g/cm2,7 vs 41.9±3.4 g/cm2,7; p<0.001) was observed. Cardiac output (CO, L/min) and systolic volume (SV, mL) were significantly higher in the CAH group (CO: 6.0±1.54 vs 4.9±2.1, p<0.01; SV: 77.3±19.8 vs 56.5±25.8, p<0.001). CONCLUSION: Chronic hypertensive pregnant women have structural and functional cardiac changes that justify routine cardiologic assessment, even in the absence of cardiopulmonary symptoms.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001500003myocardial hypertrophyventricular functionvolume overload |
| spellingShingle | Nádia Cristiane de Mattia Regina Lúcia Barbin Vera Therezinha M. Borges José Carlos Peraçoli Beatriz B. Matsubara Doppler Echocardiographic Assessment of Pregnant Women with Chronic Arterial Hypertension Arquivos Brasileiros de Cardiologia myocardial hypertrophy ventricular function volume overload |
| title | Doppler Echocardiographic Assessment of Pregnant Women with Chronic Arterial Hypertension |
| title_full | Doppler Echocardiographic Assessment of Pregnant Women with Chronic Arterial Hypertension |
| title_fullStr | Doppler Echocardiographic Assessment of Pregnant Women with Chronic Arterial Hypertension |
| title_full_unstemmed | Doppler Echocardiographic Assessment of Pregnant Women with Chronic Arterial Hypertension |
| title_short | Doppler Echocardiographic Assessment of Pregnant Women with Chronic Arterial Hypertension |
| title_sort | doppler echocardiographic assessment of pregnant women with chronic arterial hypertension |
| topic | myocardial hypertrophy ventricular function volume overload |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001500003 |
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