Evidence map›Paper›PMID 41136955›Full record

ArticleBMC pregnancy and childbirth2025

Evaluation of cardiac strain parameters in pregnant women with and without iron deficiency anemia: a prospective case control study.

Yunus Emre Özbebek, Eda Özden Tokalıoğlu, Ülkü Gürbüz Özbebek, Mehmet Erdoğan, Fatma Doğa Öcal, Dilek Şahin, Mehmet Akif Erdöl

Abstract readComparative Study
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yunus Emre ÖzbebekDepartment of Cardiology, Ankara Etlik City Hospital, Ankara, Turkey. yunusemre.ozbebek@sbu.edu.tr.ORCID http://orcid.org/0000-0002-4556-9693
Eda Özden TokalıoğluDepartment of Perinatology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-4901-0544
Ülkü Gürbüz ÖzbebekDepartment of Obstetrics and Gynocology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-1416-4850
Mehmet ErdoğanDepartment of Cardiology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-2747-3823
Fatma Doğa ÖcalDepartment of Perinatology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-4727-7982
Dilek ŞahinDepartment of Perinatology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8567-9048
Mehmet Akif ErdölDepartment of Cardiology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-2721-440X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIron deficiency anemia (IDA) is highly prevalent in pregnancy and may impair cardiovascular function. Strain echocardiography can detect subclinical myocardial dysfunction, yet data on strain alterations in pregnant women with IDA are limited.

methodsThis prospective comparative study included 80 pregnant women in the second or third trimester: 40 with IDA and 40 without anemia. All participants underwent comprehensive echocardiographic evaluation, including left ventricular global longitudinal strain (LV GLS) and right ventricular strain parameters. Laboratory iron indices were also assessed.

resultsLV GLS was significantly reduced in the IDA group compared with controls (- 17.46 ± 2.14% vs. -19.34 ± 2.74%, p = 0.001). Basal right ventricular free-wall strain was more negative in the IDA group (p = 0.032), and systolic pulmonary artery pressure was higher (p = 0.005). ROC analysis identified an LV GLS cut-off of - 20.55% for detecting subclinical cardiac dysfunction (AUC = 0.699, sensitivity = 90.0%, specificity = 70.0%). Iron indices showed significant correlations with multiple strain parameters.

conclusionsIDA in pregnancy is associated with subclinical alterations in left and right ventricular strain despite preserved ejection fraction. Strain echocardiography may be a valuable tool for early detection of cardiac involvement in anemic pregnant women.

Indexed as

Anemia, Iron-DeficiencyPregnancy Complications, HematologicAdultCase-Control StudiesEchocardiographyFemaleHeart VentriclesHumansIronPregnancyPregnancy Trimester, SecondPregnancy Trimester, ThirdProspective StudiesYoung AdultIronEchocardiographyGlobal longitudinal strainIron deficiency anemiaLeft ventricular functionMyocardial strainPregnancyRight ventricular function

Identifiers

PMID41136955
PMCPMC12551197

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