Detection of early left ventricular dysfunction in patients with maternal placental syndrome using tissue Doppler and strain rate imaging

Detection of early left ventricular dysfunction in patients with maternal placental syndrome using tissue Doppler and strain rate imaging
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DOI:
10.3109/10641955.2014.971961
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发表时间:
2015-02-01
影响因子:
1.5
通讯作者:
Bayomy, Suzan
Bayomy, Suzan
中科院分区:
医学4区
文献类型:
--
作者:
Attalla, Walid;Gaber, Rania;Bayomy, Suzan

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背景:母体胎盘综合征(MPS)是胎盘血管形成异常的结果,是指高血压妊娠疾病和相关的胎盘异常。本研究的目的是利用组织多普勒和应变率成像研究有MPS病史的患者左心室功能的早期改变。方法:我们招募了122名产后6个月的女性。组1包括72例MPS患者。第二组50例正常妊娠妇女作为对照。结果:两组在射血分数、减速时间、等容松弛时间、E/A比值方面无显著差异。通过TDI参数,MPS组左室收缩和舒张功能明显恶化(sm7.5 +/- 1.2 vs. 9.1 +/- 1.3, p
Background: Maternal placental syndromes (MPS) occur as a consequence of abnormal placental vessel formation and refer to hypertensive pregnancy disorders and related placental abnormalities. The aim of this study is to investigate early alterations in left ventricular function in patients with history of MPS using tissue Doppler and strain rate imaging. Methods: We enrolled 122 females who were 6 months after delivery. Group 1 included 72 patients who experienced MPS. Group 2 included 50 women with normal pregnancy as control. Results: There was no significant difference between both groups with regard to ejection fraction, deceleration time, isovolumetric relaxation time, or E/A ratio. Deterioration of left ventricular systolic and diastolic function was evident in the MPS group, by TDI parameters (significantly lower values of Sm 7.5 +/- 1.2 vs. 9.1 +/- 1.3, p