International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 7, Issue 6 (2021)

Global longitudinal strain, in the prediction of long term cardiovascular morbidity in preeclampsia


Kumari Amrita, Bajiya Monika, Verma Asha, Kaushik Sonam

Background: Pre-eclampsia is a complex multisystem condition. It not only increase the risk for maternal and perinatal morbidity and mortality, but also represents a risk factor for further hypertension, ischemic heart disease, stroke and premature cardiovascular death in women. Methods: This was a hospital based comparative analytical cross sectional study carried out over 2 years period from May 2019 in the Department of Obstetrics and Gynecology, SMS Medical College and attached hospitals, Jaipur. Results: A total of 45 women with pre eclampsia and 45 normotensive women were recruited during the study period. Speckle tracking echocardiography was done and strain rate indices were obtained. Compared with the healthy term normotensive pregnant women, preeclamptic women showed a significantly lower mean left ventricular global strain rate (-13.23±4.51 v /s -20.03±2.27) and the difference was stastically significant. Conclusion: Preeclamptic women are at higher risk of developing cardiovascular complications later in life. Speckle tracking echocardiography is very sensitive method of measuring myocardial function and can detect even subclinical myocardial impairement in hypertensive disorder of pregnancy. Speckle tracking echocardiography should be introduced in routine management protocol to identify women at high risk of developing complications.
Pages : 29-30