Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8752503 | American Journal of Obstetrics and Gynecology | 2018 | 29 Pages |
Abstract
Using current American Society of Echocardiography guidelines, 51% of women with treated chronic hypertension during pregnancy have some degree of abnormal cardiac remodeling. Any suggestion of maternal cardiac remodeling, regardless of subtype, was associated with increased risks for superimposed preeclampsia and preterm birth with its resultant perinatal sequelae. Eccentric ventricular hypertrophy, previously thought to mimic exercise physiology, appears to be the most associated with adverse perinatal outcomes. Despite evidence of cardiac remodeling, ejection fraction was preserved.
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Authors
Anne M. MD, Jamie L. MD, C. Edward MD, Scott W. MD, Monika MD, David B. MD, F. Gary MD,