Anesthesia and analgesia
-
Anesthesia and analgesia · Aug 2019
Multicenter StudyResting Hemodynamics and Response to Exercise Using the 6-Minute Walk Test in Late Pregnancy: An International Prospective Multicentre Study.
The 6-Minute Walk Test (6MWT) is feasible to use in late pregnancy.
pearl -
Anesthesia and analgesia · Aug 2019
Multicenter Study Comparative Study Observational StudyCardiac Structure and Function in Morbidly Obese Parturients: An Echocardiographic Study.
The increasing prevalence of obesity worldwide is a major threat to global health. Cardiac structural and functional changes are well documented for obesity as well as for pregnancy, but there is limited literature on morbidly obese parturients. We hypothesized that there are both cardiac structural and functional differences between morbidly obese pregnant women and pregnant women of normal body mass index (BMI). ⋯ Cardiac index did not differ between obese pregnant women and those with normal BMI. Their increased left ventricular mass and lower stroke volume index could indicate a limited adaptive reserve. Obese women had minor decreases in septal left ventricular tissue Doppler velocity, but the E/E' average values did not suggest clinically significant diastolic dysfunction.