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Effect of the number of parity on right heart chamber quantification
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  • Muhammed Keskin,
  • Edibe Borklu,
  • Selami Doğan,
  • Bayram Ozturk,
  • Adnan Kaya,
  • Lutfi Ocal,
  • Sinan Cersit,
  • Erhan Tenekecioglu,
  • Nurgül Keser,
  • Ahmet Orhan
Muhammed Keskin
Sultan Abdulhamid Han Egitim ve Arastirma Hastanesi
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Edibe Borklu
Istanbul Dr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi
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Selami Doğan
Sultan Abdulhamid Han Egitim ve Arastirma Hastanesi
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Bayram Ozturk
Kahramanmaras Sutcu Imam University
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Adnan Kaya
Duzce University
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Lutfi Ocal
Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi
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Sinan Cersit
Kartal Kosuyolu Yuksek Ihtisas Egitim ve Arastirma Hastanesi
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Erhan Tenekecioglu
Bursa City Hospital
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Nurgül Keser
Sultan Abdulhamid Han Egitim ve Arastirma Hastanesi
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Ahmet Orhan
Sultan Abdülhamid Han Training and Research Hospital
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Abstract

Introduction Pregnancy is a process that causes several physiological changes including all systems as well as cardiovascular system. Ventricular hypertrophy and dilation of cardiac chambers are seen as a result of these changes. Although there are studies about pregnancy-related changes in echocardiographic examination; there is no data about the long-term effects of parity on these alterations. Therefore, we have evaluated the long-term effect of pregnancy on right ventricular (RV) dilation and RV hypertrophy and their relation to the parity number. Methods This prospective study included a total of 600 women (200 consecutive women who had no parity, 200 women who had a parity number of 1 to 4 and 200 women who had a parity number of more than 4). Right chambers’ measurements were compared between the groups. Results In echocardiographic analysis, RV and right atrial dimensions and areas and RV wall thickness were higher in parous women. On the other hand, RV systolic function parameters were significantly lower in parous women. These significant changes showed a gradual increase or decrease by increasing parity number. There were also independent relationship between the number of parity and RV hypertrophy even after adjustment for several confounders. Conclusion Pregnancy-related physiological changes mostly resolve after delivery. This study about long-term effects of pregnancy on RV has demonstrated that there is a significant relation between the number of parity and either RV dilation or RV hypertrophy. Each parity had also additive effect on these changes.

Peer review status:UNDER REVIEW

15 May 2021Submitted to Echocardiography
15 May 2021Assigned to Editor
15 May 2021Submission Checks Completed
11 Jun 2021Reviewer(s) Assigned