Prevalence of Hypertrophic Cardiomyopathy in Fetuses of Mothers with Gestational Diabetes before Initiating Treatment
ABSTRACT Objective: To evaluate the prevalence of hypertrophic cardiomyopathy (HCM) in fetuses of pregnant women with gestational diabetes mellitus (GDM) in the beginning of the treatment. Methods: A cross-sectional study was performed between July 1, 2013, and Decem-ber 20, 2013, in a public mat...
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| Format: | Article |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2017-01-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000100009&tlng=en |
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| author | Carolina Rossi Palmieri Mona Adalgisa Simões Jean Carl Silva Anelise Darabas dos Santos Mariana Ribeiro e Silva Bruna Ferreira |
| author_facet | Carolina Rossi Palmieri Mona Adalgisa Simões Jean Carl Silva Anelise Darabas dos Santos Mariana Ribeiro e Silva Bruna Ferreira |
| author_sort | Carolina Rossi Palmieri |
| collection | DOAJ |
| description | ABSTRACT Objective: To evaluate the prevalence of hypertrophic cardiomyopathy (HCM) in fetuses of pregnant women with gestational diabetes mellitus (GDM) in the beginning of the treatment. Methods: A cross-sectional study was performed between July 1, 2013, and Decem-ber 20, 2013, in a public maternity clinic in southern Brazil. The subjects were 63 fetuses of mothers with gestational diabetes, with a single pregnancy and no other associated pathologies. We diagnosed HCM through a fetal echocardiography before treatment and evaluated the maternal and fetal characteristics. Results: The average age of the pregnant women was 32.32 (±6.2) years, and the average gestational age at the time of the evaluation was 30.59 (±2.27) weeks. The interventricular septum thickness showed a standard deviation of more than two in 50.8% of the fetuses (95% confidence interval [95%CI]: 38.1-63.5%). The left ventricular wall thickness showed a standard deviation of more than 2 in 13 (20.6%) fetuses (95%CI: 11.1-30.2%). The HCM was confirmed in 54% of the fetuses (95%CI: 41.3-65.1%). The fetal abdominal circumference was normal in 46 (73%) fetuses, and 50% of these fetuses had HCM. Conclusion: The prevalence of hypertrophic cardiomyopathy in fetuses of pregnant women with GDM before treatment was of 54% (95%CI: 41.3-65.1%). |
| first_indexed | 2024-12-18T04:53:54Z |
| format | Article |
| id | doaj.art-d0a8c20da1434a9da421f1f8d1df296c |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-12-18T04:53:54Z |
| publishDate | 2017-01-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-d0a8c20da1434a9da421f1f8d1df296c2022-12-21T21:20:21ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032017-01-0139191310.1055/s-0037-1598602Prevalence of Hypertrophic Cardiomyopathy in Fetuses of Mothers with Gestational Diabetes before Initiating TreatmentCarolina Rossi PalmieriMona Adalgisa SimõesJean Carl SilvaAnelise Darabas dos SantosMariana Ribeiro e SilvaBruna FerreiraABSTRACT Objective: To evaluate the prevalence of hypertrophic cardiomyopathy (HCM) in fetuses of pregnant women with gestational diabetes mellitus (GDM) in the beginning of the treatment. Methods: A cross-sectional study was performed between July 1, 2013, and Decem-ber 20, 2013, in a public maternity clinic in southern Brazil. The subjects were 63 fetuses of mothers with gestational diabetes, with a single pregnancy and no other associated pathologies. We diagnosed HCM through a fetal echocardiography before treatment and evaluated the maternal and fetal characteristics. Results: The average age of the pregnant women was 32.32 (±6.2) years, and the average gestational age at the time of the evaluation was 30.59 (±2.27) weeks. The interventricular septum thickness showed a standard deviation of more than two in 50.8% of the fetuses (95% confidence interval [95%CI]: 38.1-63.5%). The left ventricular wall thickness showed a standard deviation of more than 2 in 13 (20.6%) fetuses (95%CI: 11.1-30.2%). The HCM was confirmed in 54% of the fetuses (95%CI: 41.3-65.1%). The fetal abdominal circumference was normal in 46 (73%) fetuses, and 50% of these fetuses had HCM. Conclusion: The prevalence of hypertrophic cardiomyopathy in fetuses of pregnant women with GDM before treatment was of 54% (95%CI: 41.3-65.1%).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000100009&tlng=engestational diabetesfetal echocardiographyfetusheart diseaseshypertrophic cardiomyopathy |
| spellingShingle | Carolina Rossi Palmieri Mona Adalgisa Simões Jean Carl Silva Anelise Darabas dos Santos Mariana Ribeiro e Silva Bruna Ferreira Prevalence of Hypertrophic Cardiomyopathy in Fetuses of Mothers with Gestational Diabetes before Initiating Treatment Revista Brasileira de Ginecologia e Obstetrícia gestational diabetes fetal echocardiography fetus heart diseases hypertrophic cardiomyopathy |
| title | Prevalence of Hypertrophic Cardiomyopathy in Fetuses of Mothers with Gestational Diabetes before Initiating Treatment |
| title_full | Prevalence of Hypertrophic Cardiomyopathy in Fetuses of Mothers with Gestational Diabetes before Initiating Treatment |
| title_fullStr | Prevalence of Hypertrophic Cardiomyopathy in Fetuses of Mothers with Gestational Diabetes before Initiating Treatment |
| title_full_unstemmed | Prevalence of Hypertrophic Cardiomyopathy in Fetuses of Mothers with Gestational Diabetes before Initiating Treatment |
| title_short | Prevalence of Hypertrophic Cardiomyopathy in Fetuses of Mothers with Gestational Diabetes before Initiating Treatment |
| title_sort | prevalence of hypertrophic cardiomyopathy in fetuses of mothers with gestational diabetes before initiating treatment |
| topic | gestational diabetes fetal echocardiography fetus heart diseases hypertrophic cardiomyopathy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032017000100009&tlng=en |
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