Relation of the Number of Parity to Left Ventricular Diastolic Function in Pregnancy
Abstract Left ventricular diastolic dysfunction (LVDD) has been relatively less studied than other cardiac changes during pregnancy. Previous studies revealed a mild diastolic deterioration during pregnancy. However these studies did not evaluate the long-term effect of parity on left ventricular di...
Gespeichert in:
| Veröffentlicht in: | The American journal of cardiology 2017-07, Vol.120 (1), p.154-159 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 159 |
|---|---|
| container_issue | 1 |
| container_start_page | 154 |
| container_title | The American journal of cardiology |
| container_volume | 120 |
| creator | Keskin, Muhammed, MD Avşar, Şahin, MD Hayıroğlu, Mert İlker, MD Keskin, Taha, MD Börklü, Edibe Betül, MD Kaya, Adnan, MD Uzun, Ahmet Okan, MD Akyol, Burcu, MD Güvenç, Tolga Sinan, MD Kozan, Ömer, MD |
| description | Abstract Left ventricular diastolic dysfunction (LVDD) has been relatively less studied than other cardiac changes during pregnancy. Previous studies revealed a mild diastolic deterioration during pregnancy. However these studies did not evaluate the long-term effect of parity on left ventricular diastolic function. A comprehensive study evaluating the long-term effect of parity on diastolic function is required. A total of 710 women with various number of parity were evaluated via echocardiography to reveal the status of diastolic function. Echocardiographic parameters were compared among the women by parity number and categorized accordingly; none, 0< to 4 and 4 < parity (grand multiparous). In nulliparous group, 19 women (23.2 %) had grade 1 LVDD and only 2 women (2.4 %) had grade 2 LVDD. In women with a parity number of 0 < to 4, 209 women (38.3%) had grade 1 LVDD and only 17 women (3.1%) had grade 2 LVDD. In grand multiparous group, only 2 (2.4%) women did not have LVDD and 12 women (14.6 %) had grade 2 LVDD. None of the subjects had grade III or grade IV LVDD. According to hierarchical logistic regression analysis, any grade of LVDD and grade 2 LVDD had the highest rates at parity category of > 4 parity and that had 21 and 5.8-times higher than nulliparous group respectively. In conclusion, according to the current study, grand multiparity but not multiparity, severely deteriorates left ventricular diastolic function. Further studies are warranted to evaluate the risk of gradual diastolic dysfunction after each pregnancy. |
| doi_str_mv | 10.1016/j.amjcard.2017.03.244 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1896411325</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S000291491730615X</els_id><sourcerecordid>1907313454</sourcerecordid><originalsourceid>FETCH-LOGICAL-c514t-d9f27de2618102af7f0d9e9ac152e158921c1def42f56bdbc7bff7e5b120764b3</originalsourceid><addsrcrecordid>eNqFkcGK1TAUhoMoznX0EZSCGzetOWnSNBtFRkeFiw46iruQpieaa5uOSTpw335a71VhNq7Cge__k3yHkMdAK6DQPN9VZtxZE_uKUZAVrSvG-R2ygVaqEhTUd8mGUspKBVydkAcp7ZYRQDT3yQlruVTQtBty-QkHk_0UiskV-QcWH-axw7hOFyb6vC_yVGzR5eIrhhy9nQcTi9fepDwN3hbnc7C_4z4UFxG_BxPs_iG558yQ8NHxPCVfzt9cnr0rtx_fvj97tS2tAJ7LXjkme2QNtECZcdLRXqEyFgRDEK1iYKFHx5kTTdd3VnbOSRQdMCob3tWn5Nmh9ypOv2ZMWY8-WRwGE3Cak4ZWNRygZmJBn95Cd9Mcw_I6DYrKGmou-EKJA2XjlFJEp6-iH03ca6B61a53-qhdr9o1rfWifck9ObbP3Yj939Qfzwvw8gDgouPaY9TJegwWex_RZt1P_r9XvLjVYAcfvDXDT9xj-vcbnZim-vO6-3X1IGvagPhW3wAWP6pB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1907313454</pqid></control><display><type>article</type><title>Relation of the Number of Parity to Left Ventricular Diastolic Function in Pregnancy</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>ProQuest Central UK/Ireland</source><creator>Keskin, Muhammed, MD ; Avşar, Şahin, MD ; Hayıroğlu, Mert İlker, MD ; Keskin, Taha, MD ; Börklü, Edibe Betül, MD ; Kaya, Adnan, MD ; Uzun, Ahmet Okan, MD ; Akyol, Burcu, MD ; Güvenç, Tolga Sinan, MD ; Kozan, Ömer, MD</creator><creatorcontrib>Keskin, Muhammed, MD ; Avşar, Şahin, MD ; Hayıroğlu, Mert İlker, MD ; Keskin, Taha, MD ; Börklü, Edibe Betül, MD ; Kaya, Adnan, MD ; Uzun, Ahmet Okan, MD ; Akyol, Burcu, MD ; Güvenç, Tolga Sinan, MD ; Kozan, Ömer, MD</creatorcontrib><description>Abstract Left ventricular diastolic dysfunction (LVDD) has been relatively less studied than other cardiac changes during pregnancy. Previous studies revealed a mild diastolic deterioration during pregnancy. However these studies did not evaluate the long-term effect of parity on left ventricular diastolic function. A comprehensive study evaluating the long-term effect of parity on diastolic function is required. A total of 710 women with various number of parity were evaluated via echocardiography to reveal the status of diastolic function. Echocardiographic parameters were compared among the women by parity number and categorized accordingly; none, 0< to 4 and 4 < parity (grand multiparous). In nulliparous group, 19 women (23.2 %) had grade 1 LVDD and only 2 women (2.4 %) had grade 2 LVDD. In women with a parity number of 0 < to 4, 209 women (38.3%) had grade 1 LVDD and only 17 women (3.1%) had grade 2 LVDD. In grand multiparous group, only 2 (2.4%) women did not have LVDD and 12 women (14.6 %) had grade 2 LVDD. None of the subjects had grade III or grade IV LVDD. According to hierarchical logistic regression analysis, any grade of LVDD and grade 2 LVDD had the highest rates at parity category of > 4 parity and that had 21 and 5.8-times higher than nulliparous group respectively. In conclusion, according to the current study, grand multiparity but not multiparity, severely deteriorates left ventricular diastolic function. Further studies are warranted to evaluate the risk of gradual diastolic dysfunction after each pregnancy.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2017.03.244</identifier><identifier>PMID: 28479168</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Blood pressure ; Cardiovascular ; Diabetes ; Diastole ; Echocardiography ; Female ; Follow-Up Studies ; Heart ; Heart diseases ; Humans ; Middle Aged ; Multivariate analysis ; Parity ; Physiology ; Pregnancy ; Pregnancy Complications, Cardiovascular ; Propagation ; Prospective Studies ; Quality ; Regression analysis ; Risk Factors ; Studies ; Ultrasonic imaging ; Veins & arteries ; Ventricle ; Ventricular Dysfunction, Left - diagnosis ; Ventricular Dysfunction, Left - physiopathology ; Ventricular Function, Left - physiology ; Womens health</subject><ispartof>The American journal of cardiology, 2017-07, Vol.120 (1), p.154-159</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Sequoia S.A. Jul 1, 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-d9f27de2618102af7f0d9e9ac152e158921c1def42f56bdbc7bff7e5b120764b3</citedby><cites>FETCH-LOGICAL-c514t-d9f27de2618102af7f0d9e9ac152e158921c1def42f56bdbc7bff7e5b120764b3</cites><orcidid>0000-0002-4938-0097</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1907313454?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28479168$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keskin, Muhammed, MD</creatorcontrib><creatorcontrib>Avşar, Şahin, MD</creatorcontrib><creatorcontrib>Hayıroğlu, Mert İlker, MD</creatorcontrib><creatorcontrib>Keskin, Taha, MD</creatorcontrib><creatorcontrib>Börklü, Edibe Betül, MD</creatorcontrib><creatorcontrib>Kaya, Adnan, MD</creatorcontrib><creatorcontrib>Uzun, Ahmet Okan, MD</creatorcontrib><creatorcontrib>Akyol, Burcu, MD</creatorcontrib><creatorcontrib>Güvenç, Tolga Sinan, MD</creatorcontrib><creatorcontrib>Kozan, Ömer, MD</creatorcontrib><title>Relation of the Number of Parity to Left Ventricular Diastolic Function in Pregnancy</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Abstract Left ventricular diastolic dysfunction (LVDD) has been relatively less studied than other cardiac changes during pregnancy. Previous studies revealed a mild diastolic deterioration during pregnancy. However these studies did not evaluate the long-term effect of parity on left ventricular diastolic function. A comprehensive study evaluating the long-term effect of parity on diastolic function is required. A total of 710 women with various number of parity were evaluated via echocardiography to reveal the status of diastolic function. Echocardiographic parameters were compared among the women by parity number and categorized accordingly; none, 0< to 4 and 4 < parity (grand multiparous). In nulliparous group, 19 women (23.2 %) had grade 1 LVDD and only 2 women (2.4 %) had grade 2 LVDD. In women with a parity number of 0 < to 4, 209 women (38.3%) had grade 1 LVDD and only 17 women (3.1%) had grade 2 LVDD. In grand multiparous group, only 2 (2.4%) women did not have LVDD and 12 women (14.6 %) had grade 2 LVDD. None of the subjects had grade III or grade IV LVDD. According to hierarchical logistic regression analysis, any grade of LVDD and grade 2 LVDD had the highest rates at parity category of > 4 parity and that had 21 and 5.8-times higher than nulliparous group respectively. In conclusion, according to the current study, grand multiparity but not multiparity, severely deteriorates left ventricular diastolic function. Further studies are warranted to evaluate the risk of gradual diastolic dysfunction after each pregnancy.</description><subject>Adult</subject><subject>Aged</subject><subject>Blood pressure</subject><subject>Cardiovascular</subject><subject>Diabetes</subject><subject>Diastole</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Parity</subject><subject>Physiology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular</subject><subject>Propagation</subject><subject>Prospective Studies</subject><subject>Quality</subject><subject>Regression analysis</subject><subject>Risk Factors</subject><subject>Studies</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><subject>Ventricle</subject><subject>Ventricular Dysfunction, Left - diagnosis</subject><subject>Ventricular Dysfunction, Left - physiopathology</subject><subject>Ventricular Function, Left - physiology</subject><subject>Womens health</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkcGK1TAUhoMoznX0EZSCGzetOWnSNBtFRkeFiw46iruQpieaa5uOSTpw335a71VhNq7Cge__k3yHkMdAK6DQPN9VZtxZE_uKUZAVrSvG-R2ygVaqEhTUd8mGUspKBVydkAcp7ZYRQDT3yQlruVTQtBty-QkHk_0UiskV-QcWH-axw7hOFyb6vC_yVGzR5eIrhhy9nQcTi9fepDwN3hbnc7C_4z4UFxG_BxPs_iG558yQ8NHxPCVfzt9cnr0rtx_fvj97tS2tAJ7LXjkme2QNtECZcdLRXqEyFgRDEK1iYKFHx5kTTdd3VnbOSRQdMCob3tWn5Nmh9ypOv2ZMWY8-WRwGE3Cak4ZWNRygZmJBn95Cd9Mcw_I6DYrKGmou-EKJA2XjlFJEp6-iH03ca6B61a53-qhdr9o1rfWifck9ObbP3Yj939Qfzwvw8gDgouPaY9TJegwWex_RZt1P_r9XvLjVYAcfvDXDT9xj-vcbnZim-vO6-3X1IGvagPhW3wAWP6pB</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Keskin, Muhammed, MD</creator><creator>Avşar, Şahin, MD</creator><creator>Hayıroğlu, Mert İlker, MD</creator><creator>Keskin, Taha, MD</creator><creator>Börklü, Edibe Betül, MD</creator><creator>Kaya, Adnan, MD</creator><creator>Uzun, Ahmet Okan, MD</creator><creator>Akyol, Burcu, MD</creator><creator>Güvenç, Tolga Sinan, MD</creator><creator>Kozan, Ömer, MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7Z</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4938-0097</orcidid></search><sort><creationdate>20170701</creationdate><title>Relation of the Number of Parity to Left Ventricular Diastolic Function in Pregnancy</title><author>Keskin, Muhammed, MD ; Avşar, Şahin, MD ; Hayıroğlu, Mert İlker, MD ; Keskin, Taha, MD ; Börklü, Edibe Betül, MD ; Kaya, Adnan, MD ; Uzun, Ahmet Okan, MD ; Akyol, Burcu, MD ; Güvenç, Tolga Sinan, MD ; Kozan, Ömer, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-d9f27de2618102af7f0d9e9ac152e158921c1def42f56bdbc7bff7e5b120764b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blood pressure</topic><topic>Cardiovascular</topic><topic>Diabetes</topic><topic>Diastole</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Parity</topic><topic>Physiology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular</topic><topic>Propagation</topic><topic>Prospective Studies</topic><topic>Quality</topic><topic>Regression analysis</topic><topic>Risk Factors</topic><topic>Studies</topic><topic>Ultrasonic imaging</topic><topic>Veins & arteries</topic><topic>Ventricle</topic><topic>Ventricular Dysfunction, Left - diagnosis</topic><topic>Ventricular Dysfunction, Left - physiopathology</topic><topic>Ventricular Function, Left - physiology</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keskin, Muhammed, MD</creatorcontrib><creatorcontrib>Avşar, Şahin, MD</creatorcontrib><creatorcontrib>Hayıroğlu, Mert İlker, MD</creatorcontrib><creatorcontrib>Keskin, Taha, MD</creatorcontrib><creatorcontrib>Börklü, Edibe Betül, MD</creatorcontrib><creatorcontrib>Kaya, Adnan, MD</creatorcontrib><creatorcontrib>Uzun, Ahmet Okan, MD</creatorcontrib><creatorcontrib>Akyol, Burcu, MD</creatorcontrib><creatorcontrib>Güvenç, Tolga Sinan, MD</creatorcontrib><creatorcontrib>Kozan, Ömer, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biochemistry Abstracts 1</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keskin, Muhammed, MD</au><au>Avşar, Şahin, MD</au><au>Hayıroğlu, Mert İlker, MD</au><au>Keskin, Taha, MD</au><au>Börklü, Edibe Betül, MD</au><au>Kaya, Adnan, MD</au><au>Uzun, Ahmet Okan, MD</au><au>Akyol, Burcu, MD</au><au>Güvenç, Tolga Sinan, MD</au><au>Kozan, Ömer, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relation of the Number of Parity to Left Ventricular Diastolic Function in Pregnancy</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>120</volume><issue>1</issue><spage>154</spage><epage>159</epage><pages>154-159</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><abstract>Abstract Left ventricular diastolic dysfunction (LVDD) has been relatively less studied than other cardiac changes during pregnancy. Previous studies revealed a mild diastolic deterioration during pregnancy. However these studies did not evaluate the long-term effect of parity on left ventricular diastolic function. A comprehensive study evaluating the long-term effect of parity on diastolic function is required. A total of 710 women with various number of parity were evaluated via echocardiography to reveal the status of diastolic function. Echocardiographic parameters were compared among the women by parity number and categorized accordingly; none, 0< to 4 and 4 < parity (grand multiparous). In nulliparous group, 19 women (23.2 %) had grade 1 LVDD and only 2 women (2.4 %) had grade 2 LVDD. In women with a parity number of 0 < to 4, 209 women (38.3%) had grade 1 LVDD and only 17 women (3.1%) had grade 2 LVDD. In grand multiparous group, only 2 (2.4%) women did not have LVDD and 12 women (14.6 %) had grade 2 LVDD. None of the subjects had grade III or grade IV LVDD. According to hierarchical logistic regression analysis, any grade of LVDD and grade 2 LVDD had the highest rates at parity category of > 4 parity and that had 21 and 5.8-times higher than nulliparous group respectively. In conclusion, according to the current study, grand multiparity but not multiparity, severely deteriorates left ventricular diastolic function. Further studies are warranted to evaluate the risk of gradual diastolic dysfunction after each pregnancy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28479168</pmid><doi>10.1016/j.amjcard.2017.03.244</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4938-0097</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9149 |
| ispartof | The American journal of cardiology, 2017-07, Vol.120 (1), p.154-159 |
| issn | 0002-9149 1879-1913 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1896411325 |
| source | MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland |
| subjects | Adult Aged Blood pressure Cardiovascular Diabetes Diastole Echocardiography Female Follow-Up Studies Heart Heart diseases Humans Middle Aged Multivariate analysis Parity Physiology Pregnancy Pregnancy Complications, Cardiovascular Propagation Prospective Studies Quality Regression analysis Risk Factors Studies Ultrasonic imaging Veins & arteries Ventricle Ventricular Dysfunction, Left - diagnosis Ventricular Dysfunction, Left - physiopathology Ventricular Function, Left - physiology Womens health |
| title | Relation of the Number of Parity to Left Ventricular Diastolic Function in Pregnancy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T02%3A07%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Relation%20of%20the%20Number%20of%20Parity%20to%20Left%20Ventricular%20Diastolic%20Function%20in%20Pregnancy&rft.jtitle=The%20American%20journal%20of%20cardiology&rft.au=Keskin,%20Muhammed,%20MD&rft.date=2017-07-01&rft.volume=120&rft.issue=1&rft.spage=154&rft.epage=159&rft.pages=154-159&rft.issn=0002-9149&rft.eissn=1879-1913&rft_id=info:doi/10.1016/j.amjcard.2017.03.244&rft_dat=%3Cproquest_cross%3E1907313454%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1907313454&rft_id=info:pmid/28479168&rft_els_id=1_s2_0_S000291491730615X&rfr_iscdi=true |