RESUMEN
The fetoplacental system was studied in 80 patients with congenital heart disease by placental scintigraphy, cardiotocography, and ultrasonic examination. Disordered uteroplacental blood flow was detected in 52 of the 64 patients, small-for-date fetuses in 36 of the 80, and chronic fetal hypoxia in 48 of the 72 patients. The authors come to a conclusion that a congenital heart disease is a risk factor in respect of placental insufficiency development.
Asunto(s)
Cardiopatías Congénitas/diagnóstico , Placenta/diagnóstico por imagen , Insuficiencia Placentaria/diagnóstico , Complicaciones Cardiovasculares del Embarazo/diagnóstico , Adolescente , Adulto , Cardiotocografía , Quimioterapia Combinada , Femenino , Cardiopatías Congénitas/complicaciones , Humanos , Insuficiencia Placentaria/complicaciones , Insuficiencia Placentaria/tratamiento farmacológico , Embarazo , Cintigrafía , Agregado de Albúmina Marcado con Tecnecio Tc 99m , Ultrasonografía PrenatalRESUMEN
The feto-placental unit has been evaluated in 102 patients with acquired heart disease presenting as different circulatory states (Grade 0 insufficiency in 43, Grade I in 34 and Grade II A-B in 25 women). Placental scintigraphy was performed in 102, cardiotocography in 77, ultrasonographic fetal and placental biometry in 102 and placental pathological examination in 15 women. The neonatal study included 104 infants, with 2 twin pairs. Scintigraphy revealed utero-placental blood flow (UPBF) impairment in 72 (70.6%) pregnancies; cardiotocography showed chronic fetal hypoxia in 51 (66.1%) and ultrasonography showed intrauterine growth retardation in 44 (43.1%) pregnancies. Disorders of UPBF coexisted with chronic fetal hypoxia and intrauterine growth retardation in 33 (42.8%) pregnancies, with chronic fetal hypoxia in 18 (23.4%) pregnancies. Impairment of UPBF alone was seen in 13 (16.9%) pregnancies. The digoxin test was done concomitantly with placental scintigraphy in 28 patients; it improved diagnostic precision and provided a measure of compensation of impaired UPBF.
Asunto(s)
Insuficiencia Cardíaca/complicaciones , Enfermedades Placentarias/diagnóstico , Placenta/patología , Insuficiencia Placentaria/diagnóstico , Complicaciones Cardiovasculares del Embarazo/fisiopatología , Diagnóstico Prenatal , Femenino , Retardo del Crecimiento Fetal/etiología , Hipoxia Fetal/etiología , Insuficiencia Cardíaca/fisiopatología , Hemodinámica/fisiología , Humanos , Placenta/irrigación sanguínea , Placenta/diagnóstico por imagen , Insuficiencia Placentaria/complicaciones , Insuficiencia Placentaria/diagnóstico por imagen , Embarazo , Cintigrafía , Agregado de Albúmina Marcado con Tecnecio Tc 99m , UltrasonografíaAsunto(s)
Cardiomiopatías/sangre , Climaterio/efectos de los fármacos , Enfermedad Coronaria/sangre , Estriol/análogos & derivados , Lípidos/sangre , Cardiomiopatías/tratamiento farmacológico , Enfermedad Coronaria/tratamiento farmacológico , Evaluación de Medicamentos , Electrocardiografía , Estriol/uso terapéutico , Femenino , Humanos , Persona de Mediana Edad , SíndromeAsunto(s)
Leiomioma/diagnóstico , Complicaciones del Trabajo de Parto/diagnóstico , Complicaciones del Embarazo/diagnóstico , Neoplasias Uterinas/diagnóstico , Amenaza de Aborto/diagnóstico , Amenaza de Aborto/terapia , Adulto , Cesárea , Parto Obstétrico/métodos , Femenino , Humanos , Leiomioma/terapia , Complicaciones del Trabajo de Parto/terapia , Embarazo , Complicaciones del Embarazo/terapia , Neoplasias Uterinas/terapiaRESUMEN
Bicycle ergometry on the "Elema" electrical bicycle ergometer was conducted on 6, patients of climacteric age (41 to 55 years) with pain in the region of the heart and ECG changes. The method made it possible to confirm the diagnosis of climacteric cardiopathy in 39 and to reveal climacteric cardiopathy and concurrent ischemic heart disease in 23 patients. It was noted that physical load had a favourable effect on processes of repolarization in the myocardium of patients with climacteric cardiopathy.