ECHOCARDIOGRAPHIC ALTERATIONS IN PREGNANCY INDUCED HYPERTENSIVE PATIENT ATTENDING RURAL TERTIARY CARE HOSPITALDBVPRMC, LONI.

Pregnancy-induced hypertension (PIH) is a signicant contributor to maternal morbidity and mortality, affecting cardiovascular function. This study aimed to evaluate the echocardiographic and hemodynamic alterations in PIH patients at a rural tertiary care hospital. PIH patients exhibited signicantly higher systolic (151.62 ± 11.58 vs. 110.4 ± 8.0 mmHg) and diastolic blood pressure (95.71 ± 7.22 vs. 70.0 ± 5.0 mmHg), mean arterial pressure (114.34 ± 8.04 vs. 83.5 ± 6.0 mmHg), and pulse rate (87.73 ± 5.83 vs. 80.0 ± 10.0 bpm). Echocardiographic assessment revealed increased left atrial size, stroke volume (77.51 ± 5.36 vs. 70.0 ± 4.5 ml), and cardiac output (6796.93 ± 618.28 vs. 5600.0 ± 500.0 ml/min), with reduced MAPSE and left ventricular ejection fraction (LVEF). Additionally, left ventricular mass and mass index were signicantly elevated, suggesting hypertrophic changes. These ndings highlight the critical need for routine echocardiographic evaluation in PIH patients to detect early cardiovascular changes and implement timely interventions, thereby reducing the risk of long-term cardiovascular complications.