Is preeclampsia an independent predictor of diastolic dysfunction? A retrospective cohort study

George F. Guirguis, Michael M. Aziz, Claire Boccia Liang, Shauna F. Williams, Joseph J. Apuzzio, Robyn Bilinski, Adenieki J.D. Mornan, Leena P. Shah

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Objective To determine if preeclampsia is an independent predictor of diastolic dysfunction and what factors among patients with preeclampsia are associated with diastolic dysfunction. Methods This is a retrospective cohort study of patients who delivered between 2008 and 2013 at a single institution who had a maternal echocardiogram during their pregnancy or within 5 months of delivery. Patients with structural heart disease, ejection fraction less than 45%, pulmonary embolus, or age over 45 years were excluded. Medical records were reviewed for medical and obstetric complications and echocardiogram findings. Demographic characteristics and rate of diastolic dysfunction were compared between patients with preeclampsia and without preeclampsia. Multivariate logistic regression was performed controlling for age, ethnicity, gestational age at delivery, diabetes, preeclampsia, intrauterine growth restriction (IUGR), antihypertensive use and magnesium sulfate administration. Results Sixty-six patients were identified, of which 39 (59%) had preeclampsia. Past history of preeclampsia, IUGR in the current pregnancy, antihypertensive use and magnesium sulfate use were higher in the preeclampsia group. Fifteen patients (39%) in the preeclampsia group were African-American compared to 2 (3%) in the control group (p < 0.01). Seventeen (44%) of the patients with preeclampsia were found to have diastolic dysfunction compared to 3 (11%) controls (OR = 6.18, 95% CI 1.59, 24.02; p = 0.006). Logistic regression analysis did not reveal other independent predictors of diastolic dysfunction. In the patients with preeclampsia, history of preeclampsia with severe features and IUGR were not associated with diastolic dysfunction. Conclusions Our study supports previous findings that preeclampsia is associated with diastolic dysfunction.

Original languageEnglish (US)
Pages (from-to)359-361
Number of pages3
JournalPregnancy Hypertension
Volume5
Issue number4
DOIs
StatePublished - Oct 2015

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology
  • Internal Medicine

Keywords

  • Diastolic myocardial dysfunction
  • Echocardiography
  • Preeclampsia

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