The objective. o study the changes and stages of cardiac, cerebral and renal hemodynamic in the postpartum after normal labor, preeclampsia and eclampsia for assessment of severity hypertensive pregnancy complications and antihypertensive therapy selection. Patients and methods. We performed a prospective longitudinal cohort trial of 90 postpartum women after moderate and severe preeclampsia and eclampsia (main group) and 55 patients after an uncomplicated pregnancy (control group). The parameters of maternal hemodynamics were recorded on 1, 3, 5, 9, 14 day postpartum period, as well as after 2 and 6 months after delivery. It was produced by a complex dynamic Doppler study of blood flow in the carotid arteries (common, external, internal and ophthalmic), renal arteries and their intraorganic branches and echocardiography. Indicators of the control group compared with the hemodynamic parameters nonpregnant patients of reproductive age without somatic diseases (30 cases). Results. After uncomplicated vaginal deliveries on the third day we observed increase of the cardiac parameters (SV, CO, SI, CI) and the simultaneous decreasing SVR, and a reduction vascular resistance in brain and renal arteries as compared to non-pregnant patients (P < 0.05). The indicators back to normal by the end of the postpartum period. After PE and eclampsia on 1-3 days after labor indicators of cardiac hemodynamics were significantly lower, SVR and the cerebral and renal vessels resistance was significantly higher (p < 0.05) than after uncomplicated delivery. Recovery rates depend on the severity of hypertensive disorders. The most long-term increasing of the vascular resistance were in the ophthalmic artery and arteries of the renal parenchyma. After eclampsia PI, IR in these vessels do not reach to the standard values even after 6 weeks (p < 0.05). Conclusion. The study of maternal hemodynamics is very important for an objective assessment of the severity of hypertensive complications as during pregnancy, as well as in the postpartum period. Long-term increasing in vascular resistance after undergoing pre-eclampsia and eclampsia especially leads to high risk of cardiovascular diseases. The choice of drugs for antihypertensive therapy is carried out in accordance with the indicators of cardiac hemodynamics.

Congenital heart disease is a major cause of morbidity and mortality. Single ventricle is a rare finding and usually of left ventricular morphology. We present here interesting antenatal and postnatal echocardiographic findings of a baby having a rare single ventricle of right ventricular morphology with double outlet. Antenatally we saw a large ventricular septal defect indistinguishable from a single ventricle with left to right ventricular ratio of 1:1. Postnatally we saw a single ventricle having the outlets for both the main pulmonary artery and aortic root. The left ventricle is collapse with a rudimentary morphology possibly due to changes in hemodynamics after birth and absent of outlet from it.
Donboklang Lynser, Evarisalin Marbaniang Antenatal and postnatal sonographic imaging findings of a single ventricle presenting as double outlet right ventricle with rudimentary left ventricle and single atrium // Russian Open Medical Journal, Vol. 4, Issue 4, 2015, pp. 0-0

Analysis of transmitral flow criteria has been used to underestimate diastolic dysfunction degree. The study goal was to compare the evaluation of different echocardiographic methods to determine diastolic dysfunction types. There were 120 patients with chronic cardiac insufficiency under the study; control group included 30 healthy individuals. Pulmonary venous flow, transmitral flow at rest in carrying out Valsalva test and tests with isometric exercise have been examined for verification of diastolic dysfunction type by Impulse Doppler Echocardiographic Method. The findings have been compared with the results of Tissue Doppler Echocardiography. Among patients with diastolic dysfunction type I according to the transmitral flow examination there were 22 (34%) with diastolic dysfunction type II using Tissue Doppler Echocardiographic method. Besides, 6 persons with diastolic dysfunction type III demonstrated no diastolic dysfunction signs according to the transmitral flow data. The Valsalva test enabled differentiation of diastolic dysfunction type II in only 39% of all cases while test standardization increased the method’s value up to 55%. The isometric exercise test for diastolic reserve indication may be compared by its effectiveness with Tissue Doppler Echocardiographic method used for detection the diastolic dysfunction restrictive types.
S.A. Mironov Functional Diagnostics Methods Comparative Assessment In Determination Of Different Diastolic Dysfunction Types // Saratov Journal of Medical Scientific Research, Vol. 5, Issue 2, 2009, pp. 207-211