Sonographic evaluation of pulmonary interstitial edema in patient with preeclampsia
Yükleniyor...
Dosyalar
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
The aim of this study was to sonographically detect pulmonary edema, which is a major problem in pregnant women with preeclampsia, in the interstitial phase. We evaluated 41 preeclampsia patients and 21 control subjects prospectively. In the preeclampsia group, 26 patients had severe features, whereas the other 15 patients had none. To detect early fluid loading in lungs, sonographic B lines were counted from the intercostal space by using ultrasonography, and left ventricular loading findings were examined for corporation by using transthoracic echocardiography both before and after birth. In severe preeclampsia, the number of B lines before and after birth is statistically significant compared with the other groups. In addition, the total number of B lines calculated at 24 hours after delivery was significantly lower than that calculated before delivery (P < 0.018). In terms of prenatal E values, a statistically significant difference was found between all groups (P < 0.001). A strong positive and statistically significant relationship was found between B lines and prenatal E/e ' (r = 0.768; P < 0.001). The overall accuracy rate of the prenatal E/e ' and E value for estimation of the B line number classification is 0.791 (95% confidence interval, 0.674-0.908; P < 0.001) and 0.829 (95% confidence interval, 0.722-0.936; P < 0.001), respectively. Pulmonary edema is a serious complication in patients with severe preeclampsia and may be detected interstitially in some patients, even if it does not occur clinically.
Açıklama
Anahtar Kelimeler
Echocardiography, Interstitial Pulmonary Edema, Preeclampsia, Ultrasonography, Lung Ultrasound, Doppler-Echocardiography
Kaynak
Ultrasound Quarterly
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
37
Sayı
3
Künye
Gokkus, H., Cosgun, Z., Cosgun, M., Ekici, M. A., & Kalaycioglu, O. (2021). Sonographic evaluation of pulmonary interstitial edema in patient with preeclampsia. Ultrasound Quarterly, 37(3), 267-271.
