{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T16:43:17Z","timestamp":1786293797391,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T00:00:00Z","timestamp":1777075200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T00:00:00Z","timestamp":1777075200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Maternal hypertension has a complex\u00a0and not\u00a0fully understood\u00a0impact on the fetal heart.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The\u00a0study investigated the impact of various forms of maternal hypertension\u00a0on\u00a0fetal heart function and ventricular remodeling\u00a0and follows up postnatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The research involved 45 pregnant women with hypertension and 15 with normal pregnancies. Fetal echocardiograms were\u00a0conducted between 24 and 34 weeks of\u00a0pregnancy using various methods to evaluate\u00a0cardiac function. The study measured\u00a0ventricular transverse and longitudinal diameters, along with\u00a0the sphericity index. Follow\u2010up postnatal echocardiograms were also\u00a0conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 15 cases each of\u00a0gestational hypertension, chronic hypertension,\u00a0and preeclampsia,\u00a0with 15\u00a0control subjects. The E\/A ratio of the tricuspid valve was significantly lower in fetuses in all groups compared to the\u00a0control group. The E wave was significantly\u00a0reduced in the chronic hypertension and preeclampsia groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) compared to the\u00a0control\u00a0group. The Tei Doppler index for the left and right ventricles was significantly higher in both chronic hypertension and preeclampsia\u00a0groups, affecting both fetuses and neonates. However, there was no\u00a0statistically significant difference in\u00a0gestational hypertension for\u00a0either fetuses or neonates. In fetuses,\u00a0the\u00a0left ventricle had a decreased transverse dimension in both the chronic hypertension and preeclampsia groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001 and 0.002). In neonates, the transverse diameter decreased significantly in all groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.037, 0.005,\u00a0and 0.012 respectively). The right ventricle\u00a0showed\u00a0a\u00a0significant increase in transverse diameter in the chronic hypertension and preeclampsia groups in fetuses and only in the chronic group in neonates. The E' wave was also significantly different in both the preeclampsia and chronic hypertension groups. The E\/ E' of the\u00a0left ventricle\u00a0in preeclampsia was statistically significant in both fetuses and neonates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hypertensive pregnancies can affect fetal cardiac function and structure, which may persist into the early days of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/echo.70478","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T11:21:04Z","timestamp":1777116064000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Longitudinal Assessment of Fetal Ventricular Geometry and Function in Hypertensive Pregnancies"],"prefix":"10.1111","volume":"43","author":[{"given":"Ayman F.","family":"Sabry","sequence":"first","affiliation":[{"name":"Pediatric Cardiology, Department of Pediatrics Suez Canal University  Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick D.","family":"Evers","sequence":"additional","affiliation":[{"name":"Doernbecher Children's Hospital, Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin J.","family":"Madriago","sequence":"additional","affiliation":[{"name":"Doernbecher Children's Hospital, Oregon Health &amp; Science University  Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003892"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003021"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011\u20103093"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12424"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11906\u2010017\u20100774\u20106"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0143\u20104004(81)80042\u20102"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms20133263"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.07.025"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2014.02.001"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12399"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c2207"},{"key":"e_1_2_11_13_1","first-page":"748","article-title":"Interventricular Septal Thickness of Thai Fetuses: At 32 to 35 Weeks' Gestation","volume":"89","author":"Patchakapat L.","year":"2006","journal-title":"Journal of the Medical Association of Thailand"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JACC.2004.07.034"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jew082"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000330792"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/echo.14364"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/215910"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6272"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/echo.14489"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4471"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.3948"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2013.02.006"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.07.016"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1159\/000506047"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.07.025"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2021.1940934"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2205\u20100140.2013.tb00242.x"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2025.1558034"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2017.09.001"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23127"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI69830.21"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15815"},{"key":"e_1_2_11_34_1","doi-asserted-by":"crossref","unstructured":"P. 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