Echocardiography changes in hypertensive disorder of pregnancy

Background: Acute preeclampsia is associated with significantly higher prevalence of asymptomatic global left ventricular (LV) abnormal function and myocardial injury than uneventful pregnancy. Objective: To evaluate the LV changes in pre-eclamptic women and to compare with normotensive women. Methods: This study was conducted in the Department of Obstetrics and Gynecology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar. Two hundred women were in each group: 200 patients with preeclampsia as cases and 200normotensive patients as controls. Results: The mean LV end-systolic volume (LV ESV) in pre-eclamptic women was 33.45 ± 2.8, LV end-diastolic volume (LV EDV) was 106 ± 3.01, and LV systolic mass (LV Ms) was 87.1 ± 1.65 when compared to normotensive women LV ESV 27 ± 0.74, (P < 0.0001) LV EDV 106.2 ± 0.43, (P -0.3528), and LV Ms 84 ± 0.56 (P < 0.0001). Conclusion: This study emphasizes the importance of identifying this subset of preeclamptic patients with echo changes who are at higher risk of developing cardiovascular complications later in life by undergoing echocardiography