TABLE 3.
Echocardiographic Outcomes Evaluating Structure and Function
No History of HDP (n = 49) |
History of HDP (n = 82) |
P Value | Adjusted P Valuea |
|
---|---|---|---|---|
LV structure and function | ||||
Ejection fraction, % | 56.4 ± 6.1 | 55.4 ± 5.2 | 0.36 | 0.44 |
IVS thickness, cm | 0.89 ± 0.18 | 0.92 ± 0.18 | 0.27 | 0.82 |
PW thickness, cm | 0.82 ± 0.15 | 0.84 ± 0.14 | 0.53 | 0.68 |
Relative wall thickness | 0.36 ± 0.08 | 0.38 ± 0.09 | 0.34 | 0.71 |
LV mass | 127.06 (108.79 to 141.91) | 127.81 (108.46 to 153.27) | 0.73 | 0.79 |
LV mass index | 65.29 (55.52 to 74.72) | 66.82 (56.43 to 79.94) | 0.41 | 0.91 |
Diastolic function | ||||
E/A | 1.34 (1.24 to 1.58) | 1.34 (1.17 to 1.52) | 0.73 | 0.36 |
Septal e’, cm/s | 10 (9 to 12) | 9 (8 to 11) | 0.19 | 0.70 |
Lateral e’, cm/s | 12 (10 to 14) | 11.5 (9 to 14) | 0.56 | 0.95 |
E’ average, cm/s | 11 (9 to 13) | 10.5 (8.5 to 12.5) | 0.41 | 0.96 |
E/e’ average | 7.23 (6.31 to 8.78) | 8.26 (6.33 to 9.36) | 0.19 | 0.78 |
Strain parameters | ||||
Longitudinal strain % | −20.6 (−22.5 to −18.9) | −20.3 (−22.2 to −18.5) | 0.36 | 0.63 |
GLS < −18% | 39 (85) | 56 (77) | 0.29 | 0.81 |
Circumferential strain | −22.8 (−25.8 to −20.6) | −24.6 (−28.5 to −21.9) | 0.04 | 0.03 |
Ratio longitudinal/circumferential strain | 0.91 (0.80 to 1.01) | 0.83 (0.69 to 0.95) | 0.01 | 0.09 |
Vascular and ventricular function | ||||
LV Ees | 1.98 (1.59 to 2.31) | 2.01 (1.76 to 2.37) | 0.30 | 0.72 |
Ea | 1.79 (1.46 to 1.98) | 1.97 (1.57 to 2.24) | 0.04 | 0.14 |
VA coupling (Ees/Ea) | 1.15 ± 0.25 | 1.10 ± 0.24 | 0.25 | 0.59 |
Values are mean ± SD with 2-sided Student’s t-test P value, median (IQR) with Wilcoxon rank sum test P value, or n (%) with Fisher exact P value.
Adjusted for age, race, body mass index, history of preterm birth and presence of CHTN.
Ea = effective arterial elastance; Ees = end-systolic elastance; GLS = global longitudinal strain; HDP = hypertensive disorder of pregnancy; IVS = interventricular septum; LV = left ventricular; PW = posterior wall.