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Diagnostic Value of Noninvasive Cardiac Function Measurement for Hypertensive Disorders in Pregnancy

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DOI: 10.4236/ojog.2015.54025    2,191 Downloads   2,496 Views   Citations

ABSTRACT

This paper aims to explore the diagnostic value of noninvasive cardiac function measurement for hypertension in pregnancy. One hundred and fifty-eight cases of gestational hypertension in our hospital were analyzed retrospectively while 30 healthy pregnant women were served as normal controls. The heart function parameters in the two groups were measured with noninvasive cardiac function analyzer, such as myocardial contractive force indexes (JP, VP), impedance indexes (RTM, RS), volume load indexes (GCV, LVDP) and left heart output index (LCI). In all 158 cases of gestational hypertension, the myocardial contractive force indexes, impedance indexes and left heart output index increased unusually. The difference between the two groups was statistically significant (P < 0.05). The myocardial contractive force indexes and the impedance indexes increased significantly higher than left heart output index (P < 0.05). The noninvasive cardiac function measurement was much valuable in the early diagnosis of pregnancy-induced hypertension, especially the myocardial contractive force indexes, impedance indexes and left heart output index, it appeared to be simple and efficient, and it deserves to be clinically popularized and applied.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Li, S. , Li, X. , Nie, L. , Shen, J. , Wang, Y. and Li, Z. (2015) Diagnostic Value of Noninvasive Cardiac Function Measurement for Hypertensive Disorders in Pregnancy. Open Journal of Obstetrics and Gynecology, 5, 181-184. doi: 10.4236/ojog.2015.54025.

References

[1] AbouZahr, C. and Guidotti, R. (1998) Hypertensive Disorders of Pregnancy. In: Murray, C.J.L. and Lopez, A.D., Eds., Health Dimensions of Sex and Reproduction: The Global Burden of Sexually Transmitted Diseases, Maternal Conditions, Perinatal Disorders, and Congenital Anomalies, WHO, Geneva.
[2] National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy (2000) Report on the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. American Journal of Obstetrics and Gynaecology, 183, s1-s22.
http://dx.doi.org/10.1067/mob.2000.107928
[3] ACOG Committee on Practice Bulletins—Obstetrics (2002) American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin. Diagnosis and Management of Preeclampsia and Eclampsia. Number 33, January 2002. Obstetrics and Gynecology, 99, 159-167.
[4] Sibai, B., Dekker, G. and Kupferminc, M. (2005) Pre-Eclampsia. The Lancet, 365, 785-799.
http://dx.doi.org/10.1016/S0140-6736(05)71003-5
[5] Dildy, G. (2004) Critical Care Obstetrics. 4th Edition, Blackwell Science, Oxford.
http://dx.doi.org/10.1002/9780470760086
[6] Roberts, J.M. and Hubel, C.A. (2009) The Two Stage Model of Preeclampsia: Variations on the Theme. Placenta, 30, S32-S37.
[7] Li, Y., Du, L. and Ma, C.-E. (2001) Change of Left Heart Function and Atrioventricular Structure in Patients with Pregnancy Induced Hypertension Syndrome. Current Advances in Obstetrics and Gynecology, 10, 42-43.
[8] Meher, S. and Duley, L. (2006) Rest during Pregnancy for Preventing Pre-Eclampsia and Its Complications in Women with Normal Blood Pressure. Cochrane Database of Systematic Reviews, 6, Article ID: CD005939.
[9] The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. (1997) Archives of Internal Medicine, 157, 2413-2446. [Erratum, Archives of Internal Medicine, 1998, 158, 573.]
http://dx.doi.org/10.1001/archinte.1997.00440420033005
[10] Guidelines Subcommittee (1999) World Health Organization-International Society of Hypertension Guidelines for the Management of Hypertension. Journal of Hypertension, 17, 151-183.

  
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