A Comparative Research With Normotensive Pregnant Women on Echocardiography Changes in Women With Hypertensive Disorders of Pregnancy

Abstract

Preeclampsia, eclampsia, and gestational hypertension are known “hypertensive disorders of pregnancy” that affect mothers and babies. HDP's bodily effects are well known, but not its cardiac effects. To better understand HDP's cardiac features and their predictive relevance for maternal outcomes, this study analyses echocardiography abnormalities in pregnant women with HDP with normotensive women. One prospective cohort research comprised 18–45-year-old pregnant women. The pregnant women were divided into HDP and control groups. Both baseline and pregnancy echocardiograms were done on HDP patients. Statistical studies of demographic and clinical data were used to predict and compare echocardiographic characteristics between groups. Echocardiographic abnormalities in HDP women included enlarged “left atrial volume index (LAVI),” decreased LVEF, increased LVMI, and changed diastolic function parameters. Dynamic cardiac parameter alterations were seen in longitudinal pregnancy investigations. Logistic regression demonstrated these cardiac characteristics predict poor maternal outcomes. Subgroup investigations found more cardiac abnormalities in severe preeclampsia. HDP is linked to left ventricular hypertrophy, enlarged left atrium, and impaired diastolic and systolic function. Changes in the heart affect the mother, foetus, and future generations instantaneously and over time. Echocardiographic values may predict poor maternal outcomes in HDP women, emphasising cardiac surveillance. HDP's bigger cardiovascular consequences require further study and interdisciplinary care to enhance outcomes.