Abstract

The heart is innervated by the autonomic nervous system, with a predominance of sympathetic and parasympathetic activity associated, respectively, with increases and decreases in the heart rate, as illustrated by the Heart Rate Variability (HRV). Pregnancy induces significant changes in the maternal cardiovascular and hemodynamic systems. This study aimed at evaluating changes in the clinical and echocardiographic parameters of pregnant sheep, as well as the HRV indexes due to the physiological alterations that happen at this stage implicating in high maternal metabolic demands. For this purpose, the study evaluated 10 Dorper sheep through their pregnancy, starting from the second month until the day after delivery (24 h after birth), being evaluated clinical parameters, some of the echocardiographic measurements and electrocardiographic examinations focused on the HRV. The HRV indexes were obtained through the Televet 100® system. There were increases in the thickness of the interventricular septum during diastole starting from the third month and in the internal diameter of the left ventricle during systole and diastole at the second and third months, that diverged across the moments studied, while the ejection fraction increased as the pregnancy progressed. There were increases in the LVFWs values in the 2nd and 5th months. The size of the left atrium increased starting at the second month. The SDNN, RMSSD and PNN 50 HRV indexes were higher at the fifth month of pregnancy and after delivery. There were no significant differences in the frequency-domain HRV indexes during pregnancy. As pregnancy progresses, there is an increase in some echocardiographic parameters as well as a predominance of parasympathetic autonomic nervous system activity. The gestation leads to alterations in the clinical parameters and the activity of the autonomic nervous system.

Highlights

  • Pregnancy induces significant alterations in the maternal cardiovascular and hemodynamic systems, including increases in the Cardiac Output (CO) and reductions in Arterial Blood Pressure (ABP) and vascular resistance, as well as a systemic vascular dilation (Orabona et al, 2019)

  • An increase in Pulse Rate (PR) and respiratory rate was observed during the last month of pregnancy and the difference was statistically significant when comparing with other periods in the pregnancy

  • The authors observed LVIDd values of 2.16 cm in pregnant sheep and 2.18 cm in non-pregnant sheep and LVIDs values of 1.19 cm in pregnant sheep and 1.24 cm in non-pregnant sheep. These differences highlight the need for further studies standardizing echocardiographic parameters in sheep according to breed and body weight, since the sheep used in this study presented an average weight of 70 kg, while the ones in Acorda et al (2016) study presented an average weight of 20 kg

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Summary

Introduction

Pregnancy induces significant alterations in the maternal cardiovascular and hemodynamic systems, including increases in the Cardiac Output (CO) and reductions in Arterial Blood Pressure (ABP) and vascular resistance, as well as a systemic vascular dilation (Orabona et al, 2019). The maternal and fetal cardiovascular functions may be evaluated based on both heart rate and Heart Rate Variability (HRV) records, that is to say, short-term and long-term fluctuations in the heart rate HRV reflects the oscillatory influence of the sympathetic and. Reductions in the HRV reveal sympathetic predominance, while increases in HRV reveal increases in the parasympathetic tone (Giese et al, 2018)

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