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February 2, 2026European Heart Journal - Cardiovascular Imaging

Pregnancy related cardiac remodeling in patients with and without hypertension -preliminary results

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Key result

Hypertensive pregnancy disorders are linked to a ~3 mm greater increase in LV diameter.

  • P=0.04
  • n=27

Why the study?

The study was conducted to analyze morphological and functional cardiac changes during pregnancy and the postpartum period in women with and without hypertension.

Do hypertensive disorders of pregnancy cause greater cardiac morphological and functional remodeling compared to normotensive pregnancies?

Population

27 participants with available follow-up data from 150 recruited pregnant women

Comparison

Women with hypertension vs women without hypertension

Design

Observational cohort study

Follow-up

7.3 (±3.2) months postpartum

Authors

ESEwa SzczerbaMother and Child FoundationEKE Kozyra-PydysMother and Child FoundationAAA AjewskaMother and Child Foundation

Discussion

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Implication

May heighten surveillance needs in HDP; leaves open prognostic value for postpartum outcomes.

Key Points

  • To analyze the heart's changes during pregnancy and postpartum in women with and without hypertension.
  • Recruited 150 pregnant women with hypertensive disorders
  • Conducted echocardiographic exams during pregnancy and postpartum
  • Analyzed gestational ultrasound and blood test results
  • Used Statistica 13 for statistical analysis
  • Left atrium, left ventricle, and right ventricle sizes were larger during pregnancy than postpartum
  • Diastolic parameters were similar across pregnancy and postpartum
  • Left ventricular ejection fraction was higher during pregnancy compared to postpartum
  • Women with hypertension showed larger left ventricle diameter and different motion velocities in mitral annulus compared to those without hypertension

Study Design

Type

Observational (n=27)

Structured PICO

Do hypertensive disorders of pregnancy cause greater cardiac morphological and functional remodeling compared to normotensive pregnancies?

P
Population
27 pregnant women (10 with hypertension, 17 without) evaluated by echocardiography at approximately 29 weeks gestation and 7 months postpartum.
E
Exposure
Hypertensive disorders of pregnancy (pre-existing or gestational)
C
Comparator
Normotensive pregnancy
O
Outcome
Morphological and functional changes in the heart measured by echocardiography (including left ventricular size and diastolic function) between pregnancy (around 28.7 weeks) and postpartum (mean 7.3 months)surrogate

Main Result

Absolute Event Rate: 3.1% vs 0.4%

p-value: p=0.04

Hypertensive disorders during pregnancy are associated with more pronounced left ventricular enlargement and greater changes in diastolic function compared to normotensive pregnancies.

Limitations

  • Preliminary results
  • Follow-up data available for only 27 participants
  • Small sample size with follow-up data (n=27)

Cite This Study

Szczerba et al. (2026) conducted an observational in Pregnancy (n=27). Hypertension vs. No hypertension was evaluated on Difference in left ventricle diameter during and post pregnancy (p=0.04). Hypertension during pregnancy was associated with a significantly greater increase in left ventricular diameter compared to normotensive pregnancy (3.1 vs 0.4 mm, p=0.04).

synapsesocial.com/papers/6980ff37c1c9540dea812061https://doi.org/10.1093/ehjci/jeaf367.124

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Echocardiographic Assessment of Structural and Hemodynamic Changes in Hypertension-Related Pregnancy2016 · 31 citations
  2. 2Echocardiographic Assessment of Structural and Functional Cardiac Alterations in Gestational Hypertension and Preeclampsia: A Comparative Cross-Sectional Study2025
  3. 3Left atrial phasic function in gestational hypertension2019
  4. 4Echocardiographic Heart Changes in Pregnancies Complicated with Gestation Hypertension and Preeclampsia2019
  5. 5Longitudinal Assessment of Fetal Ventricular Geometry and Function in Hypertensive Pregnancies2026