Impact of gestational risk factors on maternal cardiovascular system

Scarce evidence is available on the potential cardiovascular abnormalities associated with some common gestational complications. We aimed to analyze the potential maternal cardiac alterations related to gestational complications, including body mass index (BMI) >25 kg/m(2), gaining excessive wei...

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Detalles Bibliográficos
Autores: Perales, María, Santos-Lozano, Alejandro, Sanchís-Gomar, Fabián, Luaces, María, Pareja Galeano, Helios, Garatachea, Nuria, Barakat, Rubén, Lucía Mulas, Alejandro
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universidad Europea (UEM)
Repositorio:ABACUS. Repositorio de Producción Científica
Idioma:inglés
OAI Identifier:oai:abacus.universidadeuropea.com:11268/5795
Acceso en línea:http://hdl.handle.net/11268/5795
Access Level:acceso abierto
Palabra clave:Aparato circulatorio
Cardiología
Sistema cardiovascular
Enfermedad cardiovascular
Descripción
Sumario:Scarce evidence is available on the potential cardiovascular abnormalities associated with some common gestational complications. We aimed to analyze the potential maternal cardiac alterations related to gestational complications, including body mass index (BMI) >25 kg/m(2), gaining excessive weight, or developing antenatal depression. The design of this study was a secondary analysis of a randomized controlled trial. Echocardiography was performed to assess cardiovascular indicators of maternal hemodynamic, cardiac remodeling and left ventricular (LV) function in 59 sedentary pregnant women at 20 and 34 weeks of gestation. Starting pregnancy with a BMI >25 kg/m(2), gaining excessive weight, and developing antenatal depression had no cardiovascular impact on maternal health (P value >0.002). Depressed women were more likely to exceed weight gain recommendations than non-depressed women (P value <0.002). The evaluated gestational complications seem not to induce cardiovascular alterations in hemodynamic, remodeling and LV function indicators. However, developing antenatal depression increases the risk of an excessive weight gain. This finding is potentially important because excessive weight gain during pregnancy associates with a higher risk of cardiovascular diseases (CVD) later in life.