An update on maternal cardiac hemodynamics in fetal growth restriction and pre-eclampsia.

cardiac output cardiovascular adaptation fetal growth restriction peripheral vascular resistance pre-eclampsia

Journal

Journal of clinical ultrasound : JCU
ISSN: 1097-0096
Titre abrégé: J Clin Ultrasound
Pays: United States
ID NLM: 0401663

Informations de publication

Date de publication:
Feb 2023
Historique:
revised: 03 10 2022
received: 03 07 2022
accepted: 28 10 2022
pubmed: 16 11 2022
medline: 16 2 2023
entrez: 15 11 2022
Statut: ppublish

Résumé

Pre-eclampsia and fetal growth restriction (FGR) have been long related to primary placental dysfunction, caused by abnormal trophoblast invasion. Nevertheless, emerging evidence has led to a new hypothesis for the origin of pre-eclampsia and FGR. Suboptimal maternal cardiovascular adaptation has been shown to result in uteroplacental hypoperfusion, ultimately leading to placental hypoxic damage with secondary dysfunction. In this review, we summarize current evidence on maternal cardiac hemodynamics in FGR and pre-eclampsia. We also discuss the different approaches for antihypertensive treatment according to the hemodynamic phenotype observed in pre-eclampsia and FGR.

Identifiants

pubmed: 36377677
doi: 10.1002/jcu.23392
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

265-272

Informations de copyright

© 2022 Wiley Periodicals LLC.

Références

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Auteurs

Andrea Dall'Asta (A)

Department of Medicine and Surgery, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy.

Monica Minopoli (M)

Department of Medicine and Surgery, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy.

Ruben Ramirez Zegarra (R)

Department of Medicine and Surgery, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy.

Elvira Di Pasquo (E)

Department of Medicine and Surgery, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy.

Tullio Ghi (T)

Department of Medicine and Surgery, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy.

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