Are Gestational and Essential Hypertension Similar? Left Ventricular Geometry and Diastolic Function
| العنوان: | Are Gestational and Essential Hypertension Similar? Left Ventricular Geometry and Diastolic Function |
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| المؤلفون: | Alberto Galante, F. Altomare, Giovanni Larciprete, Giuseppe Di Pierro, Gian Paolo Novelli, Barbara Vasapollo, Domenico Arduini, Herbert Valensise |
| المصدر: | Hypertension in Pregnancy. 22:225-237 |
| بيانات النشر: | Informa UK Limited, 2003. |
| سنة النشر: | 2003 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Left, Diastole, Essential hypertension, Ventricular Function, Left, Muscle hypertrophy, Pre-Eclampsia, Pregnancy, Internal medicine, Echocardiography, Female, Humans, Hypertension, Internal Medicine, Ventricular Function, Medicine, Diastolic function, Left ventricular geometry, Isovolumetric contraction, business.industry, Obstetrics and Gynecology, medicine.disease, Cardiology, Gestation, Settore MED/40 - Ginecologia e Ostetricia, business |
| الوصف: | To evaluate the differences and similarities in diastolic function and left ventricular geometry in gestational and essential hypertension.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.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 (p0.05). 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.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. |
| تدمد: | 1525-6065 1064-1955 |
| DOI: | 10.1081/prg-120024026 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7b29c5bc4595edcbf3f4f857b28796d5 https://doi.org/10.1081/prg-120024026 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....7b29c5bc4595edcbf3f4f857b28796d5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15256065 10641955 |
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| DOI: | 10.1081/prg-120024026 |