Abstract

FRANCO-HERNANDEZ, Alejandro et al. Echographic findings in patients with pre-eclampsia see at the critical obstetrics unit of the San Jose Children's Teaching Hospital, 2012-2014. Rev Colomb Obstet Ginecol [online]. 2015, vol.66, n.3, pp.171-178. ISSN 0034-7434.  https://doi.org/10.18597/rcog.27.

Objective: To describe echographic abnormalities found in patients diagnosed with severe preeclampsia. Materials and methods: Cross-sectional study describing ultrasound findings in patients with severe preeclampsia (SP) in accordance with the criteria of the American Congress of Obstetricians and Gynecologists. The patients were seen in a referral teaching hospital in Bogota (Colombia), between January 1, 2012 and June 30, 2014. Patients with adequate blood pressure control or with known pre-existing structural heart disease were excluded. Social, demographic and clinical variables are described, as well as the most frequent global echographic findings, also by time of onset. The data are presented using descriptive statistics. Results: Overall, 228 patients were diagnosed with SP. An echographic examination was performed in 124 and in 8 of them the echographic report was non-conclusive. Some form of abnormality was found in 78 patients (67 %). Mild pulmonary hypertension (n=34 (29 %)), left-ventricular hypertrophy (n=32 (27 %)), moderate pulmonary hy per tension (n=21 (18 %)) and diastolic dysfunction (n= 16 (13 %)) were the main findings observed. Echographic abnormalities were found more frequently in patients with pre-term SP (69 %) than in term patients (20 %) or those who developed SP during the post-partum period (11 %). Diastolic dysfunction was found to occur more frequently in patients who developed preeclampsia in the post-partum period. Conclusions: The prevalence of echographic abnormalities in SP is 67 %, the most frequent being pulmonary hypertension and left ventricular hypertrophy. More studies are needed in order to validate these findings regionally.

Keywords : Preeclampsia; echocardiography; systolic heart failure; diastolic heart failure; ventricular remodelling.

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