The assessment of fetal cardiac functions in pregnancies with autoimmune diseases: A prospective case-control study
Journal of Perinatal Medicine, cilt.51, sa.8, ss.1074-1081, 2023 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 51 Sayı: 8
- Basım Tarihi: 2023
- Doi Numarası: 10.1515/jpm-2023-0108
- Dergi Adı: Journal of Perinatal Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, Veterinary Science Database
- Sayfa Sayıları: ss.1074-1081
- Anahtar Kelimeler: antiphospholipid antibody syndrome, fetal cardiac functions, pregnancy, Sjogren's syndrome, systemic lupus erythematosus, tissue Doppler imaging
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objectives: This study aimed to assess the effect of the inflammatory process on fetal cardiac functions in pregnant women with autoimmune diseases (AID). Methods: This prospective study included 36 pregnant women with diagnosed AID. Nineteen systemic lupus erythematosus, 12 antiphospholipid syndrome, 5 Sjögren's syndrome, and 72 healthy pregnancies were included. Fetal cardiac functions were evaluated with pulsed-wave, tissue Doppler, and M-mode echocardiography. Results: Sociodemographic data were similar in both groups. Significant increases were found in tricuspid E (43.5 ± 0.9, p<0.001) and A (59.2 ± 2.2, p<0.001) and E/A (0.74 ± 0.03, p<0.001), E'/A' (0.64 ± 0.15, p<0.001), E/E' (6.5 ± 0.6, p<0.001), and left ventricular myocardial performance index (0.54 ± 0.03, p=0.005). We demonstrated a significant decrease in tricuspid E' (6.7 ± 0.6, p<0.001) and S' (6.9 ± 1, p<0.001) and in TAPSE (7.7 ± 0.5, p=0.002). We also found a significantly prolonged PR interval (130 ± 8, p<0.001). There was a significant increase in E' (6.8, p=0.033) and a significant decrease in E/E′ ratio (6.4, p=0.027) in the group using hydroxychloroquine (HCQ) compared to non-users. Conclusions: We found that pregnancy with autoimmune diseases affects fetal heart functions. Additionally, hydroxychloroquine may positively affect the heart of AID fetuses. This information might be useful to clinicians in the follow-up of cardiovascular diseases.