Abnormal maternal cardiac function and morphology in pregnancies complicated by intrauterine fetal growth restriction

• DOI: 10.1046/j.1469-0705.2002.00847.x
• Publication Date: 2003-03-12T23:25:10Z
• Authors: B. Vasapollo; H. Valensise; G. P. Novelli; G. Larciprete; G. Di Pierro; F. Altomare; B. Casalino; A. Galante; D. Arduini
• Keywords: Intrauterine growth restriction; Umbilical artery; Ductus venosus; Isovolumetric contraction

Abstract Objective To explore maternal cardiac function through an echocardiographic evaluation, in a group of nulliparous patients with intrauterine fetal growth restriction during the third trimester pregnancy. Methods Twenty‐one consecutive pregnant women who had fetuses (IUGR) and abnormal umbilical artery Doppler pulsatility index (PI) underwent examination gestation. The data were then compared those obtained from 21 normal estimated weight > 10th percentile PI considered as control group. Results Heart rate was slightly lower IUGR group, whereas blood pressure total vascular resistance higher subjects. End‐diastolic volume, stroke volume output patients. smaller left atrial maximal dimensions greater minimal areas Left depressed A ventricular mass present Isovolumetric relaxation time (IVRT) prolonged controls. Conclusions absence ‘correct’ cardiovascular compensatory response to trophoblastic invasion, might be one factors that slowly determine conditions reduced placental perfusion eventually development restriction. Copyright © 2002 International Society Ultrasound Obstetrics Gynecology