A longitudinal study of cardiac output in normal human pregnancy

William C. Mabie, Thomas G. DiSessa, Lisa G. Crocker, Baha M. Sibai, Kristopher L. Arheart

Research output: Contribution to journalArticle

220 Scopus citations

Abstract

OBJECTIVE: Our purpose was to investigate the maternal hemodynamic and cardiac structural changes that occur during pregnancy. STUDY DESIGN: Eighteen women underwent serial echocardiography beginning at 8 to 11 weeks' gestation, then at monthly intervals throughout pregnancy and at 6 and 12 weeks post partum. Cardiac output was measured by pulsed-and continuous-wave Doppler at the aortic valve. Left ventricular chamber size, wall thickness, and mass were determined by M-mode echocardiography. Ventricular diastolic function was assessed by Doppler recording of mitral inflow. RESULTS: Cardiac output by pulsed Doppler increased from 6.7 ± 0.9 L/min at 8 to 11 weeks' gestation to 8.7 ± 1.4 L/min at 36 to 39 weeks' gestation before falling to 5.7 ± 0.7 L/min 12 weeks post partum. Heart rate increased 29%, and stroke volume increased 18%. Left ventricular mass increased because of an increase in wall thickness. Peak mitral A wave velocity increased in late pregnancy. Cardiac output by pulsed and continuous-wave Doppler was similar. CONCLUSION: Cardiac output continues to increase even in late pregnancy. Left ventricular mass increases because of increased wall thickness. The mitral flow velocity findings suggest decreased ventricular compliance or increased preload.

Original languageEnglish (US)
Pages (from-to)849-852
Number of pages4
JournalAmerican journal of obstetrics and gynecology
Volume170
Issue number3
DOIs
StatePublished - Jan 1 1994

Keywords

  • cardiac output
  • diastolic function
  • left ventricular mass
  • Pregnancy

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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    Mabie, W. C., DiSessa, T. G., Crocker, L. G., Sibai, B. M., & Arheart, K. L. (1994). A longitudinal study of cardiac output in normal human pregnancy. American journal of obstetrics and gynecology, 170(3), 849-852. https://doi.org/10.1016/S0002-9378(94)70297-7