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The evaluation of ventricular functions by speckle tracking echocardiography in preeclamptic patients

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dc.contributor.authorYOLDEMİR, AHMET TEVFİK
dc.contributor.authorsPaudel, Ashok; Tigen, Kursat; Yoldemir, Tevfik; Guclu, Mehmet; Yildiz, Ipek; Cincin, Altug; Sunbul, Murat; Gurel, Emre; Sayar, Nurten; Ozben, Beste
dc.date.accessioned2022-03-12T22:40:20Z
dc.date.available2022-03-12T22:40:20Z
dc.date.issued2020
dc.description.abstractPreeclampsia is a maternal disorder of pregnancy characterized by concomitant increase in preload and afterload with end organ dysfunction. The aim of our study is to evaluate left ventricular (LV) and right ventricular (RV) functions with speckle tracking echocardiography in preeclamptic patients. Fifty-five preeclamptic (mean age: 30.7 +/- 5.9 years) and 35 healthy pregnant women (mean age: 28.8 +/- 5.7 years) of the same race, similar age and gestational week were consecutively included. The diagnosis of preeclampsia was based on the criteria proposed by the American College of Obstetricians and Gynecologists. LV and RV functions were assessed by both conventional and speckle tracking echocardiography after the 30th gestational week and at the postpartum 6th months. The preeclamptic patients had significantly larger left atrium, thicker interventricular septum, higher systolic pulmonary artery pressure and mitral E/e ' ratio compared to controls during pregnancy while LV ejection fraction was similar. Preeclamptic patients had significantly lower LV and RV global longitudinal strain (GLS) during pregnancy compared to controls (- 18.0 +/- 2.6% vs. - 19.8 +/- 2.1% p = 0.001 and - 26.7 +/- 3.3% vs. 28.9 +/- 3.3% p = 0.002, respectively). In the postpartum period, while LVGLS values of preeclamptic patients increased significantly (- 18.0 +/- 2.6% vs. - 20.4 +/- 2.4% p < 0.001) and became similar to those of controls at the sixth month, the RVGLS decreased significantly (- 26.7 +/- 3.3% vs. - 25.8 +/- 2.7% p = 0.003) making the difference in RVGLS between the preeclamptic patients and controls more prominent. Preeclampsia may impair LV and RV function. Long-term follow up with larger sample is needed to determine the clinical relevance of the observed changes in strain.
dc.identifier.doi10.1007/s10554-020-01872-y
dc.identifier.eissn1573-0743
dc.identifier.issn1569-5794
dc.identifier.pubmed32388817
dc.identifier.urihttps://hdl.handle.net/11424/235942
dc.identifier.wosWOS:000531208200002
dc.language.isoeng
dc.publisherSPRINGER
dc.relation.ispartofINTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectGlobal longitudinal strain
dc.subjectPreeclampsia
dc.subjectSpeckle tracking echocardiography
dc.subjectLeft ventricle
dc.subjectRight ventricle
dc.subjectHYPERTENSIVE DISORDERS
dc.subjectEUROPEAN ASSOCIATION
dc.subjectAMERICAN SOCIETY
dc.subjectHEART-FAILURE
dc.subjectDYSFUNCTION
dc.subjectWOMEN
dc.subjectDYSSYNCHRONY
dc.subjectPREGNANCY
dc.subjectADULTS
dc.titleThe evaluation of ventricular functions by speckle tracking echocardiography in preeclamptic patients
dc.typearticle
dspace.entity.typePublication
local.avesis.id67a2214c-c185-40a3-9287-fb3744c82e0e
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages6
local.journal.quartileQ3
oaire.citation.endPage1694
oaire.citation.issue9
oaire.citation.startPage1689
oaire.citation.titleINTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING
oaire.citation.volume36
relation.isAuthorOfPublicationa83f8663-e08c-4cde-a28b-fbd444a689e0
relation.isAuthorOfPublication.latestForDiscoverya83f8663-e08c-4cde-a28b-fbd444a689e0

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