Speckle Tracking Echocardiography in Hypertensive Pregnancy Disorders: A Systematic Review

Suzanne Moors (Corresponding author), Noortje H.M. van Oostrum, Chiara Rabotti, Xi Long, Michelle E.M.H. Westerhuis, Hareld M.C. Kemps, S.G. (Guid) Oei, Judith O.E.H. van Laar

Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelpeer review

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Samenvatting

Objective: The aim of this study was to study whether STE is a suitable method to detect differences in cardiac function in pregnant women with HPD compared with normotensive pregnant women or between women with a history of a pregnancy complicated by HPD compared with women with a history of an uncomplicated pregnancy.

Evidence acquisition: The databases Medline, EMBASE, and Central were systematically searched for studies comparing cardiac function measured with STE in pregnant women with HPD or women with a history of HPD and women with a history of normotensive pregnancies.

Results: The search identified 16 studies, including 870 women with a history of HPD and 693 normotensive controls. Most studies during pregnancy (n = 12/13) found a decreased LV-GLS (left ventricular global longitudinal strain) in HPD compared with normotensive pregnant controls. LV-GRS (left ventricular global radial strain) and LV-GLCS (left ventricular global circumferential strain) are decreased in women with early-onset and severe preeclampsia. Women with a history of early-onset preeclampsia show lasting myocardial changes, with significantly decreased LV-GLS, LV-GLCS, and LV-GRS.

Conclusions and relevance: LV-GLS is significantly decreased in pregnant women with HPD compared with normotensive pregnant women. Other deformation values show a significant decrease in women with severe or early-onset preeclampsia, with lasting myocardial changes after early-onset preeclampsia.
Originele taal-2Engels
Pagina's (van-tot)497-509
Aantal pagina's13
TijdschriftObstetrical and Gynecological Survey
Volume75
Nummer van het tijdschrift8
DOI's
StatusGepubliceerd - 1 aug 2020

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