Аннотация:
Introduction. The aim of this study is to assess maternal cardiac function in the postpartum period, after 2 and 6 months in the parturient with preeclampsia and eclampsia. Materials and Methods. Prospective study: 90 postpartum women after preeclampsia and eclampsia and 55 patients after an uncomplicated pregnancy. The parameters of maternal hemodynamics were recorded on days 1, 3, 5, 9, and 14 of postpartum period, after 2 and 6 months. The cardiac parameters were assessed. Results. PE is accompanied by increased peripheral vascular resistance. The indicator of vascular resistance, SVR, is elevated for both mild and severe PE. With mild PE, a significant increase in SVR is observed up to 5 days of postpartum period, with severe PE/E up to 9 days. We found that in case of severe PE, SVR remains elevated to 6 months after delivery. The parameters of the contractile function of the heart (ESV, EDV, SV, SI, CO, CI, MVCF) were significantly decreased: with mild PE up to 5-9 days, with sev
Timokhina E. V. Elena Vladimirovna 1974-
Kuz`mina T. E. Tat`yana Evgenyevna 1974-
Strizhakov A. N. Aleksandr Nikolaevich 1937-
Pitskhelauri E. G. Elena Germanovna 1975-
Ignatko I. V. Irina Vladimirovna 1968-
Belousova V. S. Vera Sergeevna 1977-
Тимохина Е. В. Елена Владимировна 1974-
Кузьмина Т. Е. Татьяна Евгеньевна 1974-
Стрижаков А. Н. Александр Николаевич 1937-
Пицхелаури Е. Г. Елена Германовна 1975-
Игнатко И. В. Ирина Владимировна 1968-
Белоусова В. С. Вера Сергеевна 1977-
Maternal Cardiac Function after Normal Delivery, Preeclampsia, and Eclampsia: A Prospective Study
Текст визуальный непосредственный
Journal of Pregnancy
Vol.2019 Num.9795765
2019
Статья
birth eclampsia female heart contraction heart failure hemodynamics human pathophysiology physiology preeclampsia pregnancy prospective study puerperium severity of illness index time factor vascular resistance Eclampsia Female Heart Failure Hemodynamics Humans Myocardial Contraction Parturition Postpartum Period Pre-Eclampsia Pregnancy Prospective Studies Severity of Illness Index Time Factors Vascular Resistance
Introduction. The aim of this study is to assess maternal cardiac function in the postpartum period, after 2 and 6 months in the parturient with preeclampsia and eclampsia. Materials and Methods. Prospective study: 90 postpartum women after preeclampsia and eclampsia and 55 patients after an uncomplicated pregnancy. The parameters of maternal hemodynamics were recorded on days 1, 3, 5, 9, and 14 of postpartum period, after 2 and 6 months. The cardiac parameters were assessed. Results. PE is accompanied by increased peripheral vascular resistance. The indicator of vascular resistance, SVR, is elevated for both mild and severe PE. With mild PE, a significant increase in SVR is observed up to 5 days of postpartum period, with severe PE/E up to 9 days. We found that in case of severe PE, SVR remains elevated to 6 months after delivery. The parameters of the contractile function of the heart (ESV, EDV, SV, SI, CO, CI, MVCF) were significantly decreased: with mild PE up to 5-9 days, with sev