| Are gestational and essential hypertension similar? Left ventricular geometry and diastolic function. | |
| | |
MedLine Citation:
|
PMID: 14572359 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To evaluate the differences and similarities in diastolic function and left ventricular geometry in gestational and essential hypertension. METHODS: Thirty-nine consecutive gestational hypertensive pregnant women in the third trimester of gestation (GH), 40 nonpregnant essential hypertensive women (EH), and 38 normotensive nonpregnant women (N) matched for age were enrolled into the study and underwent echocardiographic and Doppler evaluations. The GH and EH patients were evaluated prior to the administration of any drug treatment. RESULTS: Left atrial function was similar in GH and N subjects and lower than that in EH patients. Both GH and EH patients had early left ventricular diastolic filling pattern significantly different as compared to N subjects (longer isovolumetric relaxation time, deceleration time of the E wave, and lower E wave velocity in GH and EH vs. N), whereas the late filling properties were similar in GH and N subjects with a lower A velocity, and velocity-time integral vs. EH (p < 0.05). Systolic fraction of the pulmonary vein flow was similar in GH and EH patients and lower in N subjects. Altered left ventricular geometry was more common in GH than in EH, whereas normotensive subjects did not show any alteration of the geometric pattern. CONCLUSIONS: Gestational and essential hypertension induce similar early altered diastolic filling of the left ventricle. Essential hypertension is characterized by a compensatory late filling mechanism due to an enhancement of left atrial function. Gestational hypertension is characterized by altered left ventricular geometry, which is far less common during essential hypertension. |
| | |
Authors:
|
Gian Paolo Novelli; Herbert Valensise; Barbara Vasapollo; Giovanni Larciprete; Giuseppe Di Pierro; Francesco Altomare; Domenico Arduini; Alberto Galante |
Related Documents
:
|
78849 - Postextrasystolic relaxation in the dog heart. 99019 - Echocardiography: pericardial tickening and constrictive pericarditis. 2212799 - The influence of hemodilution on left ventricular function. 141349 - Echocardiographic evaluation of fixed left ventricular outlet obstruction in children. ... 3158269 - Reversal of cardiac hypertrophy by medical treatment. 9468459 - Reduction of left ventricular mass by antihypertensive treatment does not improve exerc... 12780969 - On-line lung volume measurement during high-frequency oscillatory ventilation. 19167279 - Silicone moulding for pressure sore debridement. 758129 - Effect of filming projection and interobserver variability on angiographic biplane left... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Hypertension in pregnancy : official journal of the International Society for the Study of Hypertension in Pregnancy Volume: 22 ISSN: 1064-1955 ISO Abbreviation: Hypertens Pregnancy Publication Date: 2003 |
Date Detail:
|
Created Date: 2003-10-23 Completed Date: 2003-12-01 Revised Date: 2009-05-12 |
Medline Journal Info:
|
Nlm Unique ID: 9421297 Medline TA: Hypertens Pregnancy Country: United States |
Other Details:
|
Languages: eng Pagination: 225-37 Citation Subset: IM |
Affiliation:
|
Semeiology and Medical Methodology, Tor Vergata University, Rome, Italy. bgp.novelli@tiscali.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Diastole / physiology* Echocardiography / methods Female Humans Hypertension / physiopathology*, ultrasonography Pre-Eclampsia / physiopathology*, ultrasonography Pregnancy Ventricular Function, Left / physiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Endothelin converting enzyme (ECE) activity in normal pregnancy and preeclampsia.
Next Document: Pathological uterine perfusion in the second trimester is not associated with neutrophil activation.