Impedance cardiography in uncomplicated pregnancy and pre-eclampsia: A reliability study

Abstract

It has been reported that cardiac contractility is altered in pre-eclampsia compared with normal pregnancy. Because of the non-invasive nature of impedance cardiography (ICG), this method is gaining popularity in the obstetric field. We assessed the reliability of ICG measurements in uncomplicated 3rd trimester pregnancies (UP) and pre-eclamptic pregnancies (PE). ICG measurements were recorded before and after three position changes, and this examination was done twice (session 1 and 2) per subject. For each of the 22 haemodynamic parameters, inter- and intrasession Pearson's correlation coefficients (PCC) were calculated for mean values of 30 measurements per position per subject. PCC was consistently ≥ 0.80 for contractility parameters ‘acceleration-’, ‘velocity-’ and ‘heather-index’ in both UP and PE. These data illustrate that correlation between repeated ICG measurements of cardiac contractility is high under standardised conditions, and that ICG may be useful to study changes of cardiac contractility in pregnancy.

Keywords::

• Cardiac contractility
• correlation coefficient
• haemodynamic monitoring
• non-invasive method
• postural challenge

Acknowledgements

The authors would like to thank Louis Peeters (MD, PhD) of the Maastricht University Medical Centre for his kind help and recommendations in our study.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.