Prevalence of heart failure with preserved ejection fraction in patients with pregnancy-induced hypertension
Journal Title: International Archives of Integrated Medicine - Year 2019, Vol 6, Issue 3
Abstract
Introduction: Preeclampsia is one of the commonest complications of pregnancy and is a major course of maternal and fetal mortality and morbidity. In developing countries, it ranks second to anemia as a cause of maternal mortality and morbidity, complicating 7 – 10% of all pregnancies. Cardiac failure with pulmonary edema may occur in hypertensive patients with a normal heart. Aim of the study: The aim of this study was to determine the left ventricular dysfunction in preeclampsia women by measuring the left ventricular systolic and diastolic indices using echocardiography. Materials and methods: This study was a prospective observational study involving 50 patients who had been admitted in the antenatal ward of Govt. Mohan Kumar Mangalam Medical College, Salem over the period of one year from January 2017 to January 2018 (Group – 1). 50 normal normotensive pregnant patients selected at random who came to the OPD of our institute at the same period constituted (Group – 2). 50 normal non pregnant patients selected at random who come to the OPD of our institute at the same period who were from 18 to 35 year of age constituted (Group – 3). Results: The mean age of these study groups 1, 2, and 3 were 23 years, 24 years, 26 years respectively. The mean EF in three groups was 60%, 58.3%, 58.8% respectively. LV systolic and diastolic function indices were compared among the three groups with significance level. There was a statistically significant LV diastolic dysfunction in the preeclampsia group (p-value ˂0.001). Conclusion: In our study, LV systolic function was within normal limits in most of the preeclampsia patient. But statistically significant LV diastolic dysfunction was seen in 17/50 (34%) of the preeclamptic patient (p ˂0.001).
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P Pachaiyappan
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