[Importance of electro- and phonocardiography in diagnosis of pulmonary hypertension in pregnant women with mitral valve stenosis]. / Znachenie elektro- i fonokardiografii v diagnostike legochnoi gipertonii u beremennykh s mitral'nym stenozom

The possibilities of electro- and phonocardiography in detecting the extent of pulmonary hypertension are elucidated. Taking as a basis pertinent changes in the electro- and phonocardiograms made it possible to objectively estimate the degree of risk that involves labour at early terms of pregnancy. This is of importance in solving the problem of its preservation and also in deciding on the management of gestation and labour.

[Diagnosis of placental insufficiency in patients with acquired heart defects]. / K voprosu o diagnostike platsentarnoi nedostatochnosti u bol'nykh priobretennymi porokami serdtsa.

The feto-placental unit has been evaluated in 102 patients with acquired heart disease presenting as different circulatory states (Grade 0 insufficiency in 43, Grade I in 34 and Grade II A-B in 25 women). Placental scintigraphy was performed in 102, cardiotocography in 77, ultrasonographic fetal and placental biometry in 102 and placental pathological examination in 15 women. The neonatal study included 104 infants, with 2 twin pairs. Scintigraphy revealed utero-placental blood flow (UPBF) impairment in 72 (70.6%) pregnancies; cardiotocography showed chronic fetal hypoxia in 51 (66.1%) and ultrasonography showed intrauterine growth retardation in 44 (43.1%) pregnancies. Disorders of UPBF coexisted with chronic fetal hypoxia and intrauterine growth retardation in 33 (42.8%) pregnancies, with chronic fetal hypoxia in 18 (23.4%) pregnancies. Impairment of UPBF alone was seen in 13 (16.9%) pregnancies. The digoxin test was done concomitantly with placental scintigraphy in 28 patients; it improved diagnostic precision and provided a measure of compensation of impaired UPBF.

[Diagnosis and treatment of placental insufficiency in patients with congenital heart defects]. / O diagnostike i lechenii platsentarnoi nedostatochnosti u bol'nykh s vrozhdennymi porokami serdtsa.

The fetoplacental system was studied in 80 patients with congenital heart disease by placental scintigraphy, cardiotocography, and ultrasonic examination. Disordered uteroplacental blood flow was detected in 52 of the 64 patients, small-for-date fetuses in 36 of the 80, and chronic fetal hypoxia in 48 of the 72 patients. The authors come to a conclusion that a congenital heart disease is a risk factor in respect of placental insufficiency development.