Assessment of early fetal cardiac function impairment in patients with gestational hypertension
10.3969/j.issn.1673-9701.2025.02.006
- VernacularTitle:胎儿心脏定量分析技术对妊娠期高血压患者胎儿早期心功能损害的评估
- Author:
Daoling YANG
1
;
Yibo ZHOU
;
Xidan WANG
;
Jingwan CHEN
;
Fuhua CHEN
;
Xiaoying TAO
Author Information
1. 浙江大学医学院附属金华医院超声医学科,浙江金华 321000
- Publication Type:Journal Article
- Keywords:
Gestational hypertension;
Fetal heart quantification;
Fractional area change;
Global spherical index
- From:
China Modern Doctor
2025;63(2):20-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical application value of fetal heart quantification(HQ)technology in evaluating morphology and function of fetal heart in gestational hypertension pregnancy patients.Methods A total of 85 women with gestational hypertension(GH)during gestational age of 20-40 weeks from March 2020 to March 2024 had been selected as experimental group.According to blood pressure,urine protein,and symptoms of pregnant women,experimental group was divided into GH group(n=35),mild preeclampsia(MPE)group(n=28),and severe preeclampsia(SPE)group(n=22).Additionally,150 normal pregnant women with matched gestational age were randomly selected as control group.Fetal HQ technique was adopted to obtain cardiac morphological and functional indicators of groups,and statistical analysis was conducted.Results There was statistically significant difference in global spherical index(GSI)in each group(P＜0.05).Patients in SPE group had rounder fetal hearts.Bariance analysis was performed on fractional area change(FAC),Tei index,and global longitudinal strain(GLS)for each group of patients.There were statistically significant differences in right ventricular GLS and right ventricular Tei index(P＜0.05).The absolute value of right ventricular GLS in SPE group and MPE group was lower than that in control group,while right ventricular Tei index in SPE group was higher than that in control group.Conclusion Fetal HQ technique provides quick and easy quantitative assessment of fetal heart shape and function.Gestational hypertension not only changes the fetal heart morphology,but also affects the fetal heart function,and the fetal right heart system is more affected than the fetal left heart.
