Assessment of left ventricular function in patients with hypertensive disorder complicating pregnancy by left ventricular pressure-strain loop technology
Assessment of left ventricular function in patients with hypertensive disorder complicating pregnancy by left ventricular pressure-strain loop technology[J]. Journal of Clinical Ultrasound in Medicine, 2023,25(7).
Assessment of left ventricular function in patients with hypertensive disorder complicating pregnancy by left ventricular pressure-strain loop technology[J]. Journal of Clinical Ultrasound in Medicine, 2023,25(7).DOI:
Objective Exploring the clinical value of quantitative assessment of left ventricular function in patients with hypertensive disorder complicating pregnancy by left ventricular pressure-strain loop technology. Methods 38 patients with hypertensive disorder complicating pregnancy (case group) and 42 healthy pregnant women of matched gestational age (control group) were selected for routine echocardiography examination. Left ventricular pressure-strain loop technology was used to measure left ventricular global longitudinal strain (GLS)
myocardial global work index (GWI)
global constructive work (GCW)
global wasted work (GWW)
and global work efficiency (GWE). The general data of the two groups were compared differences in conventional echocardiographic parameters and myocardial work parameters; Using Spearman correlation analysis to analyze the correlation between myocardial work parameters and systolic and diastolic blood pressure; Drawing a receiver operating characteristic (ROC) curve to analyze the diagnostic efficacy of various parameters in evaluating cardiac function in patients with hypertensive disorder complicating pregnancy. Results Compared with the control group
the systolic blood pressure
diastolic blood pressure
LAD
IVSD
LVPWD
GWI
GCW
and GWW in the case group increased
while GWE and GLS decreased
with statistical significance (all P<0.05). Correlation analysis showed that GWI
GCW
GWW were positively correlated with systolic and diastolic blood pressure
while GWE and GLS were negatively correlated with systolic and diastolic blood pressure (all P<0.05). ROC curve analysis shows that the sensitivity and specificity of myocardial work parameters GWI
GCW
and GWW in diagnosing left ventricular function changes in patients with hypertensive disorder complicating pregnancy are significantly higher than GLS and left ventricular ejection fraction
with GCW and GWW having the highest diagnostic efficacy.Conclusion The left ventricular pressure-strain loop technique has certain value in evaluating early left ventricular myocardial damage in patients with hypertensive disorder complicating pregnancy.
关键词
超声心动描记术压力-应变环妊娠期高血压疾病收缩功能,心室,左
Keywords
EchocardiographyPressure-strain loopHypertensive disorder complicating pregnancySystolic functionVentricular Left