Melandri Monica, Spalla Ilaria, Fanciullo Luca, Alonge Salvatore
Ambulatorio Veterinario "Il Melograno", Sesto Calende, 21018 Varese, Italy.
Animals (Basel). 2020 Oct 29;10(11):1992. doi: 10.3390/ani10111992.
Pregnancy is associated with adaptation of the left ventricular (LV) function. Due to differences between breeds in baseline echocardiographic values and specific predispositions for myocardial diseases, breed-specific echocardiographic parameters may be helpful to evaluate whether the systolic function varies during pregnancy. This study enrolled nine healthy Great Dane bitches with uncomplicated pregnancy. Echocardiographic M-mode and B-mode data were collected before ovulation and within 7 days of the predicted parturition term. Evaluated parameters were: LV dimension in diastole (LVd) and systole (LVs), end-diastolic (EDVI) and end-systolic (ESVI) volumes indexed to body surface area (BSA), end-diastolic (EDV) and end-systolic (ESV), end-point-septal-separation (EPSS), left atrium to aortic root ratio (LA/Ao), sphericity index (SI), ejection fraction (EF), fractional shortening (FS), stroke volume (SV), heart rate (HR), and cardiac output (CO). The ANOVA showed a statistical effect of the age of gestation ( < 0.01) on the increase of diastolic dimensions and functional parameters and on the decrease of systolic dimensions. The CO increase parallels the rise in SV and HR ( < 0.01). No statistical differences were observed for EPSS, LA/Ao, and SI. The changes in cardiac chambers and function are likely to reflect maternal adaptation to allow the fetal development in uncomplicated pregnancy. The present study provides specific echocardiographic values in uncomplicated pregnancy of Great Danes, showing that the systolic function is enhanced and that the increase in preload, observed during gestation, is the likely mechanism.
妊娠与左心室(LV)功能的适应性变化相关。由于不同品种在基线超声心动图值以及心肌疾病的特定易感性方面存在差异,特定品种的超声心动图参数可能有助于评估妊娠期间收缩功能是否发生变化。本研究纳入了9只妊娠过程无并发症的健康大丹犬母犬。在排卵前和预计分娩期的7天内收集超声心动图M型和B型数据。评估的参数包括:舒张末期左心室内径(LVd)和收缩末期左心室内径(LVs)、根据体表面积(BSA)校正的舒张末期容积指数(EDVI)和收缩末期容积指数(ESVI)、舒张末期容积(EDV)和收缩末期容积(ESV)、室间隔终点分离(EPSS)、左心房与主动脉根部比值(LA/Ao)、球形指数(SI)、射血分数(EF)、缩短分数(FS)、每搏输出量(SV)、心率(HR)和心输出量(CO)。方差分析显示,妊娠年龄(<0.01)对舒张期内径和功能参数的增加以及收缩期内径的减小具有统计学影响。心输出量的增加与每搏输出量和心率的升高平行(<0.01)。EPSS、LA/Ao和SI未观察到统计学差异。心腔和功能的变化可能反映了母体的适应性变化,以允许在无并发症的妊娠中胎儿发育。本研究提供了大丹犬无并发症妊娠的特定超声心动图值,表明收缩功能增强,且妊娠期间观察到的前负荷增加可能是其机制。