Study of An Echocardiographic Evaluation of Left Ventricular Dysfunction in Preeclampsia patients

Volume : VII, Issue : IV, April - 2018

Dr. P. Gnanavel, Dr. P. Pachaiyppan

Introduction:

Preeclampsia is a pregnancy specific disorder which constitutes hypertension after 20 weeks of gestation and proteinuria. It is a

multisystem disorders of unknown etiology. The aim of this study is to determine the left ventricular dysfunction in preeclampsia

women by measuring the left ventricular systolic and diastolic indices using echocardiography.

Materials and Methods:

This study is a prospective observational study involving 50 patients who had been admitted in the antenatal ward of Govt.Mohan

Kumaramangalam Medical College, Salem over the period of one year from January 2017 to January 2018. (Group 1). 50 normal

normotensive pregnant patients selected at random who came to the OPD of our institute at the same period constituted (Group

2). 50 normal non pregnant patients selected at random who come to the OPD of our institute at the same period who were from

18 to 35 years of age constituted (Group 3).

Results:

The mean age of this study groups 1,2,3 were 23 years, 24 years, 26 years respectively. The mean EF in three groups were 60%,

58.3%, 58.8% respectively. LV systolic and diastolic function indices were compared among the three groups with significance

level. There was a statistically significant LV diastolic dysfunction in the preeclampsia group (P value < 0.001)

Conclusion:

Our study reported that LV systolic function was within normal limits in most of the preeclampsia patients. Statistically significant

LV diastolic dysfunction was seen in 15/50[30%]of the preeclamptic patients (P <0.001).