Features of the central hemodynamics of the pregnant women with insulin-dependent diabetes (IDD) mellitus and gestosis

Abstract

Central hemodynamics was tested by rheographyc method by Kubichek at 169 women at term of 27-34 weeks of pregnancy with IDD and gestosis of a mild degree, with gestosis without infringements of a carbohydrate exchange and practically healthy. There are the essential changes of the central hemodynamics are revealed at the mild forms of gestosis: frequency of cardiac reductions, diastolic and average hemodynamics pressure, systemic peripheric resistance were higher, and the parameters of work of heart - stroke output, shock index, volumetric rate of emission and capacity of a left ventricle - are lower, than appropriate parameters of the healthy pregnant women. At a nephropathy-I is shown, that the infringements of a vascular link of a hemodynamics increases at conservation of changes cardiodynamics, having a place at edemas in pregnant women. At pregnant woman with IDD and gestosis an infringement of a hemodynamics deeper, than at pregnant with gestosis without diabetes. These infringements are shown by aggravation of a heart failure and vascular complications, even at the mild forms of late gestosis.

Keywords

hemodynamics / pregnant women / diabetes mellitus / gestosis

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