Year 2020, Volume 6 , Issue 6, Pages 615 - 623 2020-11-04

Evaluation of myocardial function in pregnant women with speckle-tracking echocardiography

Selma ARI [1] , Hasan ARİ [2] , Mustafa YILMAZ [3] , Tahsin BOZAT [4]


Objectives: The speckle-tracking technique calculates the regional rate, the strain and the strain rate from two-dimensional gray-scale visualizations. The aim of this study was to evaluate with speckle-tracking echocardiography the effects of the first, second and third trimesters of pregnancy on cardiac functions.

Methods: One hundred five voluntary pregnant and 35 healthy women of reproductive age were included in the study. For echocardiographic evaluations, the 111 highest-quality visualizations were chosen: 24 cases in the first trimester, 31 cases in the second trimester, 32 cases in the third trimester and 24 healthy women as a control group. Global longitudinal, radial, and circumferential strain, and left ventricular (LV) rotation and twist were evaluated by two-dimensional speckle tracking echocardiography.

Results: During pregnancy, the diameter, and volume of the left atrium, LV stroke volume, and the heart rate significantly increased beginning in the first trimester (p < 0.0125). The parameters of pulse-Doppler E velocity and tissue Doppler Em velocity significantly increased in the first trimester (p < 0.0125), whereas in the second and third trimester they decreased to control levels. Global longitudinal strain was significantly decreased in the third trimester of the pregnancy (p < 0.0125). Basal and apical LV rotation and twist were significantly increased in the third trimester of pregnancy (p < 0.0125). LV apical and basal reverse rotation rate were significantly increased in the first trimester of pregnancy (p < 0.0125).

Conclusions: In the third trimester global longitudinal strain decreased whereas LV rotation and twist increased. Speckle-tracking echocardiography may be used to evaluate the effects of pregnancy and that provide further data on cardiac functions. 

Strain, echocardiography, tissue Doppler imaging, pregnancy
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Primary Language en
Subjects Cardiac and Cardiovascular Systems
Journal Section Original Articles
Authors

Orcid: 0000-0001-8669-8750
Author: Selma ARI (Primary Author)
Institution: Department of Cardiology, University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey
Country: Turkey


Orcid: 0000-0002-9681-2374
Author: Hasan ARİ
Institution: Department of Cardiology, University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey
Country: Turkey


Orcid: 0000-0003-4155-2197
Author: Mustafa YILMAZ
Institution: Department of Cardiology, Uludağ University School of Medicine, Bursa, Turkey
Country: Turkey


Orcid: 0000-0002-7389-6253
Author: Tahsin BOZAT
Institution: Department of Cardiology, University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey
Country: Turkey


Dates

Application Date : July 20, 2020
Acceptance Date : August 15, 2020
Publication Date : November 4, 2020

EndNote %0 The European Research Journal Evaluation of myocardial function in pregnant women with speckle-tracking echocardiography %A Selma Arı , Hasan Ari̇ , Mustafa Yılmaz , Tahsin Bozat %T Evaluation of myocardial function in pregnant women with speckle-tracking echocardiography %D 2020 %J The European Research Journal %P -2149-3189 %V 6 %N 6 %R doi: 10.18621/eurj.771627 %U 10.18621/eurj.771627