[Echocardiographic image of the heart in physiological pregnancy and pregnancy-induced hypertension (EPH gestosis)].
The aim of the paper was an attempt to perform own evaluation of the changes which in the woman's circulatory system are provoked by pregnancy, being complicated by gestation-induced arterial hypertension (gestosis H) as compared with changes occurring in physiological pregnancy. The model of the study was provided by monodimensional echography. The study covered 51 normal non-pregnant women, 43 normal pregnant women and 45 pregnant ones with arterial hypertension induced by the pregnancy (gestosis EPH). The evaluated anatomical and functional parameters permitted the estimation of the circulatory system and the direction of hemodynamic changes in the studied groups. In the group of women with physiological pregnancy I obtained the confirmation of hitherto existing viewpoints, it means, I disclosed features of the hyperkinetic circulation with the increase of the cardiac output, and the drop in peripheral resistance as well as a slight, compensatory hypertrophy of the left ventricular muscle. In women with gestosis. I revealed higher intensity with regard to the features of hyperkinetic circulation, apparent hypertrophy of the muscle of the left ventricle, its good contractility, and indirect symptoms that may evidence a defect in diastolic tendency of the left ventricle. The increment in the severity of gestosis was accompanied by a further mass increase of the left ventricular muscle.
Wojtarowicz
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A
Kliniki Kardiologii Instytutu Chorób Wewnetrznych, Pomerskiej Akademii Medycznej.
D000328:Adult; D004452:Echocardiography / Q000379:methods; D005260:Female; D006321:Heart / Q000502:physiology* / Q000503:physiopathology; D006801:Humans; D009200:Myocardial Contraction / Q000502:physiology*; D011225:Pre-Eclampsia / Q000000981:diagnostic imaging*; D011247:Pregnancy / Q000502:physiology*; D016216:Ultrasonography, Prenatal / Q000379:methods
Echokardiograficzny obraz serca w ciazy fizjologicznej i powikłanej nadciśnieniem tetniczym indukowanym przez ciaza (gestoza EPH).