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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2010-6-4
pubmed:abstractText
The maternal heart significantly adapts to the circulatory needs of pregnancy, but the effect of pregnancy on ventricular repolarization is poorly understood. The aim of this study was to quantify longitudinal changes in ventricular repolarization during pregnancy. Monthly electrocardiographs (ECGs) were recorded in 32 pregnant women with normal uterine perfusion and 32 pregnant women with abnormal perfusion, starting from the 20th week of gestation until 3 days postpartum. Ventricular repolarization was assessed through various QT interval variability and heart rate adaptation measures. The pregnancy outcomes of all women with normal perfusion were normal. Among pregnancies with abnormal uterine perfusion, 15 pregnancy outcomes were normal, but 17 pregnancies developed preeclampsia and/or small-for-gestational-age infants. In pregnancies with normal perfusion, the QT(c) interval was unaltered, but the QT interval-heart rate hysteresis lag was shorter and the QT interval-heart rate regression residual was higher compared with those of a control group of 10 healthy non-pregnant women. Pregnancies with abnormal uterine perfusion that developed pathological outcomes showed significantly smaller QT interval-heart rate regression residuals and a trend towards shorter QT(c) intervals compared with pregnant women with normal perfusion. In conclusion, pregnancy has a significant effect on ventricular repolarization. Pregnancies with abnormal uterine perfusion and subsequent pathological outcomes are paralleled by changes in ventricular repolarization that precede clinical symptoms.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1348-4214
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
555-60
pubmed:meshHeading
pubmed-meshheading:20224570-Adaptation, Physiological, pubmed-meshheading:20224570-Adult, pubmed-meshheading:20224570-Arrhythmias, Cardiac, pubmed-meshheading:20224570-Electrocardiography, pubmed-meshheading:20224570-Female, pubmed-meshheading:20224570-Heart Rate, pubmed-meshheading:20224570-Heart Ventricles, pubmed-meshheading:20224570-Humans, pubmed-meshheading:20224570-Infant, pubmed-meshheading:20224570-Infant, Newborn, pubmed-meshheading:20224570-Infant, Small for Gestational Age, pubmed-meshheading:20224570-Longitudinal Studies, pubmed-meshheading:20224570-Pre-Eclampsia, pubmed-meshheading:20224570-Pregnancy, pubmed-meshheading:20224570-Pregnancy Complications, Cardiovascular, pubmed-meshheading:20224570-Pregnancy Outcome, pubmed-meshheading:20224570-Uterus, pubmed-meshheading:20224570-Young Adult
pubmed:year
2010
pubmed:articleTitle
Longitudinal changes in QT interval variability and rate adaptation in pregnancies with normal and abnormal uterine perfusion.
pubmed:affiliation
School of Paediatrics and Reproductive Health and School of Medicine, University of Adelaide, Adelaide, Australia. mathias.baumert@adelaide.edu.au
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't