Peripartum echocardiographic changes in women with hypertensive disorders of pregnancy

Giorgione, Veronica; O’Driscoll, Jamie M; Coutinho, Conrado Milani; Fabrizio, Carolina Di; Sharma, Rajan; Khalil, Asma; Thilaganathan, B.

doi:10.1002/uog.23745

Cited by 14 publications

(14 citation statements)

References 34 publications

(58 reference statements)

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“…The cardiac alterations demonstrated by Giorgione et al 3 . in patients with HDP confirm the findings of previous investigations 2 .…”

supporting

confidence: 89%

“…The cardiac alterations demonstrated by Giorgione et al 3 in patients with HDP confirm the findings of previous investigations 2 . Given the persistence of structural and functional cardiac alterations in these patients 3 , close follow-up would allow changes to be considered at the time they are observed thereby improving their management.…”

supporting

confidence: 87%

“…In the recent study by Giorgione et al 3 ,. pre‐ and postpartum cardiac changes in 30 women with hypertensive disorders of pregnancy (HDP) were evaluated by transthoracic echocardiography.…”

mentioning

confidence: 93%

“…In the recent study by Giorgione et al 3 , pre-and postpartum cardiac changes in 30 women with hypertensive disorders of pregnancy (HDP) were evaluated by transthoracic echocardiography. Hemodynamic changes, including in cardiac geometry and left ventricular function indices, were observed before delivery in 70% of the patients and these persisted after birth.…”

mentioning

confidence: 99%

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Re: Peripartum echocardiographic changes in women with hypertensive disorders of pregnancy

Flórez

Barrios

Hoz-Valle

2022

Ultrasound in Obstet & Gyne

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“…The cardiac alterations demonstrated by Giorgione et al 3 . in patients with HDP confirm the findings of previous investigations 2 .…”

supporting

confidence: 89%

supporting

confidence: 87%

mentioning

confidence: 93%

mentioning

confidence: 99%

See 2 more Smart Citations

Re: Peripartum echocardiographic changes in women with hypertensive disorders of pregnancy

Flórez

Barrios

Hoz-Valle

2022

Ultrasound in Obstet & Gyne

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“…The weakening of the elasticity of the left heart chamber resulted in the inadequacy in diastolic functions of the left heart chamber, which were manifested mainly by the diastole of the left heart chamber and filling obstruction. The proportion of filling in the left heart chamber was increased by atrial systole [ 24 , 25 ]. The change in blood flow in the mitral valve was mainly the reduction of peak E and the increase of peak A , namely, E / A < 1.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Cardiac Function of Pregnant Women with High Blood Pressure during Gestation Period and Coupling of Hearts with Peripheral Vessels by Ultrasonic Cardiogram under Artificial Intelligence Algorithm

Zhang

Liang

Cao

2022

Computational and Mathematical Methods in Medicine

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The research was aimed at analyzing the value of the optimized eXtreme Gradient Boosting (XGBoost) algorithm-based ultrasound cardiogram images in the diagnosis of pregnant hypertension patients. A total of 145 pregnant women (85 cases suffered from hypertension disease during pregnancy and 60 other normal women were healthy) were selected as the reference to the comparison and analysis of ultrasound cardiac function parameter, common carotid artery parameter, and the coupling relationship between hearts and cervical vessels of pregnant hypertension patients. The results demonstrated ultrasound cardiac function parameter of pregnant hypertension patients as follows. The maximum volume of the left atrium (LAVmax) was 35.65 mm, left ventricular end-systolic volume (LVESV) was 31.07 mm, and left ventricular end-diastolic volume (LVEDV) was 88.73 mm. All the above indexes were obviously higher than those of the normal control group ( P < 0.05 ). Besides, intima-media thickness (IMT) of common carotid artery (465.84 μm), pulse wave velocity (PWV) (8.09 m/s), pressure of turning point 1 from isovolumic contraction phase to ejection phase (PT1) (126.5 mmHg), arterial enhancement pressure (AP) (6.14 mmHg), and arterial pressure enhancement index (8.58%) were all significantly higher than those of the normal control group ( P < 0.05 ). In addition, the correlation between the coupling ( E / A ) of hearts and carotid artery of pregnant hypertension patients and PWV was not obvious ( r = − 0.08432 , P > 0.05 ). The results of the research indicated that intima-media inside carotid artery of pregnant hypertension patients thickened obviously, and it became less elastic compared with that of normal healthy pregnant women. What is more, cardiac morphological changes were manifested mainly as the enlargement of the left atrial chamber and the thickening of the interventricular septum. Volume load and blood flow velocity both increased, and left ventricular diastolic function was damaged. XGBoost algorithm-based ultrasound cardiogram images could improve the diagnostic effects of hypertension during pregnancy effectively.

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Hypertensive disorders of pregnancy and long‐term cardiovascular health: FIGO Best Practice Advice

Poon

Nguyen‐Hoang

Smith

et al. 2023

Intl J Gynecology & Obste

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Hypertensive disorders of pregnancy (HDP) are the most common causes of maternal and perinatal morbidity and mortality. They are responsible for 16% of maternal deaths in high‐income countries and approximately 25% in low‐ and middle‐income countries. The impact of HDP can be lifelong as they are a recognized risk factor for future cardiovascular disease. During pregnancy, the cardiovascular system undergoes significant adaptive changes that ensure adequate uteroplacental blood flow and exchange of oxygen and nutrients to nurture and accommodate the developing fetus. Failure to achieve normal cardiovascular adaptation is associated with the development of HDP. Hemodynamic alterations in women with a history of HDP can persist for years and predispose to long‐term cardiovascular morbidity and mortality. Therefore, pregnancy and the postpartum period are an opportunity to identify women with underlying, often unrecognized, cardiovascular risk factors. It is important to develop strategies with lifestyle and therapeutic interventions to reduce the risk of future cardiovascular disease in those who have a history of HDP.

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Peripartum echocardiographic changes in women with hypertensive disorders of pregnancy

Abstract: This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process which may lead to differences between this version and the Version of Record. Please cite this article as

Cited by 14 publications

References 34 publications

Re: Peripartum echocardiographic changes in women with hypertensive disorders of pregnancy

Re: Peripartum echocardiographic changes in women with hypertensive disorders of pregnancy

Evaluation of Cardiac Function of Pregnant Women with High Blood Pressure during Gestation Period and Coupling of Hearts with Peripheral Vessels by Ultrasonic Cardiogram under Artificial Intelligence Algorithm

Hypertensive disorders of pregnancy and long‐term cardiovascular health: FIGO Best Practice Advice

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