Interest of speckle tracking in the detection of cardiac involvement in pregnant women with hypertensive disorder

Ajmi, Hassen; Abid, Dorra; Milouchi, Sami; Louati, Doulira; Ahmed, Saeed; Choura, Doniyes; Chaaben, K.; Abid, Leïla; Kammoun, S.

doi:10.1016/j.preghy.2017.10.008

Cited by 17 publications

(24 citation statements)

References 15 publications

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“…These findings also apply to the right heart, where existing literature documented right heart impairment only in women with preterm preeclampsia [26,27]. Global longitudinal strain has been shown to be significantly reduced in women with preterm preeclampsia [21], or in cohorts of women with early and late-onset preeclampsia [18]. Our study demonstrated that similar changes are seen in women with term preeclampsia.…”

Section: Summary Of Study Findingssupporting

confidence: 75%

“…New echocardiographic technologies such as speckle tracking are more sensitive in detecting subclinical cardiac changes than conventional techniques [16,17]. Speckle tracking has been shown to be a sensitive tool to quantify even subtle changes in cardiac function [18][19][20][21]. The existing literature included a very limited number of strain measurements only [18,19], and focused on left ventricular function and early-onset preeclampsia [20,21].…”

Section: Introductionmentioning

confidence: 99%

“…Speckle tracking has been shown to be a sensitive tool to quantify even subtle changes in cardiac function [18][19][20][21]. The existing literature included a very limited number of strain measurements only [18,19], and focused on left ventricular function and early-onset preeclampsia [20,21]. The aim of the present study is to use speckle tracking and ventricular torsion assessment to determine biventricular cardiac function in women with term preeclampsia compared to healthy term pregnancies.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cardiac maladaptation in term pregnancies with preeclampsia

Buddeberg

Sharma

O’Driscoll

et al. 2018

Pregnancy Hypertension

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Section: Summary Of Study Findingssupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cardiac maladaptation in term pregnancies with preeclampsia

Buddeberg

Sharma

O’Driscoll

et al. 2018

Pregnancy Hypertension

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show abstract

“…In contrast to our results, Ajmi et al 16 reported that longitudinal global strain was significantly impaired in their preeclamptic group, although there was no difference between the 2 groups in terms of radial strain and circumferential strain.…”

Section: Discussioncontrasting

confidence: 99%

Comparison of left ventricular systolic function by 2D speckle-tracking echocardiography between normal pregnant women and pregnant women with preeclampsia

Mostafavi

Zar

Nikdoust

et al. 2019

J Cardiovasc Thorac Res

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Introduction: In light of previous studies reporting the significant effects of preeclampsia on cardiac dimensions, we sought to evaluate changes in the left ventricular (LV) systolic and diastolic functions in patients with preeclampsia with a view to investigating changes in cardiac strain. Methods: This cross-sectional study evaluated healthy pregnant women and pregnant women suffering from preeclampsia who were referred to our hospital for routine healthcare services. LV strain was measured by 2D speckle-tracking echocardiography. Results: Compared with the healthy group, echocardiography in the group with preeclampsia showed a significant increase in the LV end-diastolic diameter (47.43 ± 4.94 mm vs 44.84 ± 4.30 mm; P = 0.008), the LV end-systolic diameter (31.16 ± 33.3 mm vs 29.20 ± 3.75 mm; P = 0.008), and the right ventricular diameter (27.93 ± 1.71 mm vs 24.53 ± 23.3; P = 0.001). The mean global longitudinal strain was -18.69 ± 2.8 in the group with preeclampsia and -19.39 ± 3.49 in the healthy group, with the difference not constituting statistical significance (P = 0.164). The mean global circumferential strain in the groups with and without preeclampsia was -20.4 ± 12.4 and -22.68 ± 5.50, respectively, which was significantly lower in the preeclampsia group (P = 0.028). Conclusion: The development of preeclampsia was associated with an increase in the right and left ventricular diameters, as well as a decrease in the ventricular systolic function, demonstrated by a decline in global circumferential strain.

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“…9 Having GLS cut points in pregnancy would be useful in discerning pathologic vs normal symptoms of pregnancy and ruling out PPCM or other pathologic changes. 18 We have incomplete understanding of normal GLS in pregnancy as there are no established reference ranges.…”

Section: Discussionmentioning

confidence: 99%

Persistence of abnormal global longitudinal strain in women with peripartum cardiomyopathy

et al. 2021

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Objectives: Data regarding the longitudinal relationship of global longitudinal strain (GLS) and echocardiographic parameters are lacking in peripartum cardiomyopathy (PPCM). We evaluated GLS and its correlation with change (∆) in left ventricular ejection fraction (LVEF). Methods: We retrospectively identified women age ≥16 years hospitalized at Montefiore Medical Center in Bronx, NY from 1999-2015 with International Statistical Classification of Diseases and Related Health Problems, 9th revision codes for PPCM or an occurrence of unexplained heart failure during or up to 5 months postpartum. N = 195 charts were reviewed for inclusion/exclusion criteria, n = 53 patients met criteria for PPCM, and of those, n = 13 had a baseline and follow-up echocardiogram suitable for GLS analysis.Results: Of those eligible for strain analysis, the mean age was 30 ± 6 years, 46.2% identified as Black and 38.5% as Hispanic/Latina. Baseline LVEF was 30 (25, 35)%, GLS was −13.2 (−14, −7.6)%. At a mean follow-up time of 1.2 ± 0.7 years, 11/13 had persistently mild −15.6 (−16.3, −12.7)%, and 2/13 severely abnormal GLS −7.05

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Interest of speckle tracking in the detection of cardiac involvement in pregnant women with hypertensive disorder

Cited by 17 publications

References 15 publications

Cardiac maladaptation in term pregnancies with preeclampsia

Cardiac maladaptation in term pregnancies with preeclampsia

Comparison of left ventricular systolic function by 2D speckle-tracking echocardiography between normal pregnant women and pregnant women with preeclampsia

Persistence of abnormal global longitudinal strain in women with peripartum cardiomyopathy

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