Document Detail


Total body water estimation and maternal cardiac systolic function assessment in normal and gestational hypertensive pregnant women.
MedLine Citation:
PMID:  15328487     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The importance of establishing correlations between cardiac function (cardiac output and stroke volume) and total body water (TBW) content in normal and hypertensive pregnancy focuses primarily on their potential relevance in treatment. Total body water content and cardiac function were evaluated in 25 normotensive (N) and 22 gestational hypertensive (GH) pregnant women matched for age, gestational age, and pre-pregnancy body mass index (BMI) during the third trimester of gestation. MATERIAL/METHODS: Patients underwent maternal echocardiography, bioelectrical impedance analysis (BIA), and hematocrit (Hct) evaluation, and the water balance index (WBI), i.e. the ratio of total body water to hematocrit, was computed. Hematocrit showed significantly lower values in normal than in GH women (31.9+/-2.2% vs. 36.2+/-2.5%; p<0.001). RESULTS: There was no difference in TBW between the two groups. The WBI was higher in normal than in GH women (1.35+/-0.20 l.kg-1.m-2 vs. 1.19+/-0.18 l.kg-1.m-2; p<0.001). Normal subjects showed a higher stroke volume than GH patients (78.0+/-9.7 ml vs 67.9+/-10.2 ml; p=0.001). Atrial function was also higher in normal than in GH women (left atrial fractional area change: 57.4+/-5.1% vs. 42.5+/-7.5%; p<0.001). Correlation was found between stroke volume and WBI (r=0.93, p<0.0001). CONCLUSIONS: Maternal cardiac function and the water balance index are strongly related and might help in comprehending the mechanisms of adaptation in physiologic and hypertensive pregnancy.
Authors:
Herbert Valensise; Barbara Vasapollo; Gian Paolo Novelli; Giovanni Larciprete; Angela Andreoli; Francesco Altomare; Giuseppe Di Pierro; Alberto Galante; Domenico Arduini; Antonino De Lorenzo
Related Documents :
11013567 - Fetal echocardiography and congenital heart disease.
16616027 - Recurrence rates of arrhythmias during pregnancy in women with previous tachyarrhythmia...
24604057 - Migraine in pregnancy and lactation.
12234817 - Structural and functional changes in left ventricle during normotensive and preeclampti...
16920187 - Effect of different number of frozen spermatozoa inseminated on the reproductive perfor...
17880037 - Cordocentesis in multifetal pregnancies.
Publication Detail:
Type:  Journal Article     Date:  2004-08-20
Journal Detail:
Title:  Medical science monitor : international medical journal of experimental and clinical research     Volume:  10     ISSN:  1234-1010     ISO Abbreviation:  Med. Sci. Monit.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-27     Completed Date:  2005-02-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9609063     Medline TA:  Med Sci Monit     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  CR530-4     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy. valensise@med.uniroma2.it
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adaptation, Physiological
Adult
Atrial Function, Left
Body Water*
Echocardiography
Female
Heart Function Tests
Hematocrit
Humans
Hypertension, Pregnancy-Induced / physiopathology*
Pregnancy
Statistics as Topic
Systole / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Suppression of gastric acid production may improve the course of angina pectoris and the results of ...
Next Document:  Stroke in young adults: a study from a university hospital in north India.