Echocardiography parameters and cardiac geometry in pregnancy by race and ethnicity.

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY Obstetric Medicine Pub Date : 2025-01-21 eCollection Date: 2025-12-01 DOI:10.1177/1753495X241312774

Gianna Wilkie, Angela Essa, Sharina D Person, Lara Kovell

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Abstract

Objectives: The objective of this study was to assess transthoracic echocardiography (TTE) parameters in pregnancy by race and ethnicity.

Methods: We performed a retrospective cohort study of pregnant individuals without cardiovascular disease who underwent a perinatal TTE between October 2017 and May 2022. Demographics and echocardiographic parameters were compared by race/ethnicity. Multivariate regression analysis was performed for TTE parameters after adjusting for age and hypertension.

Results: During the study period, 369 individuals had TTEs with a mean age of 31.8 ± 6.0 years old. Subjects were 55.3% White, 24.7% Hispanic, 14.1% Black, and 6.0% Asian. TTE parameters of left ventricular (LV) ejection fraction and LV mass index differed by race/ethnicity, though no difference was seen in cardiac geometry.

Conclusion: The differences in TTE parameters may not be clinically significant as most values fall within normal clinical ranges. Further prospective studies are needed to better evaluate cardiac outcomes by differences in echocardiographic parameters in pregnancy.

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不同种族和民族的妊娠超声心动图参数和心脏几何形状。

目的：本研究的目的是按种族和民族评估妊娠的经胸超声心动图（TTE）参数。方法：我们对2017年10月至2022年5月期间接受围产期TTE的无心血管疾病孕妇进行了回顾性队列研究。按种族/民族比较人口统计学和超声心动图参数。在调整年龄和高血压因素后，对TTE参数进行多因素回归分析。结果：研究期间，共有369例患者罹患该病，平均年龄为31.8±6.0岁。受试者中白人占55.3%，西班牙裔占24.7%，黑人占14.1%，亚裔占6.0%。左室射血分数和左室质量指数的TTE参数因种族/民族而异，但心脏几何形状无差异。结论：TTE参数的差异可能没有临床意义，因为大多数值都在正常的临床范围内。需要进一步的前瞻性研究来更好地评估妊娠超声心动图参数的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Obstetric Medicine OBSTETRICS & GYNECOLOGY-

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1.90

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