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Transthoracic echocardiography in women with treated severe pre‐eclampsia
Author(s) -
Dennis A. T.,
Castro J. M.
Publication year - 2014
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.12623
Subject(s) - medicine , ventricle , cardiology , eclampsia , hemodynamics , diastole , mitral valve , cardiac output , cardiac function curve , diastolic function , heart failure , pregnancy , blood pressure , biology , genetics
Summary The aim of this study was to investigate cardiac function and haemodynamic indices using transthoracic echocardiography in women with severe pre‐eclampsia who had already received treatment interventions. Fifteen women with treated severe pre‐eclampsia were studied using transthoracic echocardiography. Mean (SD) cardiac output in women with treated disease was 5690 (1708) ml.min −1 . Systolic function was preserved in women with treated disease evidenced by mean ( SD ) fractional shortening 41 (9)%, fractional area change 62 (12)% and septal s′ velocities 9.0 (2.1) cm.s −1 . Left ventricle end‐diastolic diameters were within healthy reference ranges at 4.7 (0.3) cm and the left ventricle was not dilated. Diastolic function was reduced, with a mean ( SD ) mitral valve E/septal e′ ratio of 12.6 (4.1). Left ventricular mass was increased at 182.0 (44.4) g. There was large variability in haemodynamics in women with treated severe pre‐eclampsia. Transthoracic echocardiography is acceptable and applicable and enables quantification of cardiac function in women with severe pre‐eclampsia.

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