Појава на срцево оштетување кај трудници со прееклампсија/гестациска хипертензија

Abstract

Introduction: Hypertensive disorders in pregnancies are seen in 6-10% of all pregnancies.Hypertensive disorders that are associated with pregnancy are gestational hypertension and preeclamspia. In the last several years a link was established between heart abnormalities and gestational hypertension/preeclampsia. Echocardiography as an imaging method is increasingly being used in obstetrics in the management of hemodynamic changes which occur in normal but also in pregnancies with gestational hypertension/preeclampsia. Goal:To introduce regular heart controls in pregnancies complicated with gestational hypertension/preeclampsia. Materials and methods: In the study 81 pregant women were enrolled. It is a case control study. The study was conducted form 01.05.2015 untill 01.05.2017 (2 years) Pregnant women were recruited from the outpatient clinic at the University Clinic for Gynecology and Obstetrics after they signed an informed consent. Тhe patients were divided in two groups (normotensive and pregnancies with gestational hypertension/preeclampsia). All women recieved complete dopler echocardiographic assessment. The study was done at the Clinic for Gynecology and Obstetrics and Clinic for Cardiology. Results: The results confirm the study hypothesis about the role of echocardiography in heart monitoring in pregnancy complicated with gestational hypertension/preeclampsia. In the examined group with hypertension in more the 43% of the cases heart remodeling was seen with asymptomatic left chamber dysfunction/hypertrophy upon entry in the study, 33% on the first control (2 weeks postpartum). On the last control 6 months’ postpartum persistent abnormalities were seen in 28% of the evaluated cases. In the normotensive control group heart function was normal in all evaluated cases except one.