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November 1, 2024JACC AdvancesOpen Access

Cardiovascular Adaptation in Normal Pregnancy With 2D and 3D Echocardiography, Speckle Tracking, and Radial Artery Tonometry

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Why the study?

Comprehensive cardiovascular assessment in normal pregnancy using advanced techniques has limited data.

Population

Healthy pregnant women

Comparison

Assessments during first, second, and third trimesters vs postpartum

Design

Prospective longitudinal study

Follow-up

Postpartum

Authors

TNTasneem Z. NaqviMNMeena NarayananRRReza Rafie

Discussion

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Overview

Does not support changes in monitoring normal pregnancies; extends echocardiographic characterization of gestational physiology but leaves open clinical utility.

Structured PICO

P
Population
Healthy pregnant women
I
Intervention
Serial assessment using 2D/Doppler echocardiography, speckle tracking strain, 3D echocardiography, and applanation tonometry during the first, second, and third trimesters and postpartum
O
Outcome
Cardiovascular changes including E/e' ratio, LV ejection duration, and systolic augmentation of central aortic pressuresurrogate

Advanced echocardiography and tonometry demonstrate that normal pregnancy induces efficient cardiovascular adaptation via increased multi-chamber contractility and reduced afterload despite increased chamber volumes.

Cite This Study

Naqvi et al. (2024) studied this question.

synapsesocial.com/papers/69ffe98db124fe581985ae1bhttps://doi.org/10.1016/j.jacadv.2024.101360
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Determinants of diastolic myocardial tissue Doppler velocities: influences of relaxation and preload2001 · 175 citations
  2. 2Estimation of Central Aortic Pressure Waveform by Mathematical Transformation of Radial Tonometry Pressure1997 · 1,316 citations
  3. 3Structural and functional changes in left ventricle during normotensive and preeclamptic pregnancy2002 · 296 citations
  4. 4Morphological and Functional Adaptation of the Maternal Heart During Pregnancy2012 · 287 citations