Left Ventricular Performance During Pregnancy in Patients With Repaired Tetralogy of Fallot : Prospective Evaluation Using the Tei Index

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概要

• 論文の詳細を見る

• Little is known about the influence of hemodynamic changes on ventricular performance during pregnancy in patients with congenital heart disease. A prospective evaluation was made of 17 pregnancies in 11 women with repaired tetralogy of Fallot (ToF). Twenty age-matched non-pregnant women and 41 stable pregnant women without heart disease were studied as controls. Blood pressure (BP), heart rate (HR), left ventricular end-diastolic dimension (LVEDD) and ejection fraction (LVEF), and the Tei index were measured before pregnancy; during the 1st, 2nd, and 3rd trimesters; and after delivery. BP and HR gradually increased during the pregnancy in both groups. The LVEDD in the controls increased throughout the gestation period, then decreased after delivery. In contrast, the LVEDD in the ToF was significantly smaller than that of the controls, and no such increase was observed. The LVEF did not change throughout pregnancy or after the delivery in either group. Although the Tei index of the controls did not change throughout the pregnancy, in the ToF group it was significantly increased in the 2nd and 3rd trimester and then decreased after delivery. These findings suggest that subclinical left ventricular intolerance for volume overload, probably because of the smaller LVEDD, may exist during pregnancy in patients with a repaired ToF.

• 社団法人日本循環器学会の論文
• 2003-07-20

著者

• MATSUISHI Toyojiro

  Department of Pediatrics and Child Health, Kurume University School of Medicine

• MATSUISHI Toyojiro

  Kurume University School of Medicine

• Matsuishi Toyojiro

  Department Of Pediatrics And Child Health Kurume University School Of Medicine

• Matuishi Toyojiro

  Department Of Pediatrics And Child Health Kurume University School Of Medicine

• Ishii Masahiro

  Kitasato University School of Medicine

• Akagi Teiji

  Department of Pediatrics, Kurume University

• Himeno Wakako

  Department of Pediatrics, Kurume University

• Ishii Masahiro

  Department of Pediatrics, Kurume University

• Hidaka Yoshie

  Department of Biology, Faculty of Science, Shizuoka University

• Akagi Teiji

  Department Of Cardiovascular Surgery Okayama University Graduate School Of Medicine And Dentistry

• Akagi Teiji

  Department Of Pediatrics Kurume University

• Ishii Masahiro

  Department Of Pediatrics Kitasato University

• Hidaka Yoshie

  Department Of Pediatrics Kurume University School Of Medicine

• Himeno Wakako

  Department Of Pediatrics Kurume University School Of Medicine

• Ishii Masahiro

  Department Of Intellectual Information Systems Engineering Toyama University

• Akagi Teiji

  Committee On Guidelines For Management Of Pregnancy In Women With Cardiovascular Disease Japanese Ci

• MATSUISHI Toyojiro

  Department of Pediatrics & Child Health, Kurume University School of Medicine

• HIMENO WAKAKO

  Department of Pediatrics and Child Health, Kurume University School of Medicine

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