Fetal tissue Doppler imaging in pregnancies complicated with preeclampsia with or without intrauterine growth restriction

2012 ◽  
Vol 32 (11) ◽  
pp. 1021-1028 ◽  
Author(s):  
Qiongjie Zhou ◽  
Yunyun Ren ◽  
Yingliu Yan ◽  
Chen Chu ◽  
Yonghao Gui ◽  
...  
2017 ◽  
Vol 28 (2) ◽  
pp. 284-291 ◽  
Author(s):  
Luciana Rodriguez-Guerineau ◽  
Miriam Perez-Cruz ◽  
María D. Gomez Roig ◽  
Francisco J. Cambra ◽  
Juan Carretero ◽  
...  

AbstractIntroductionThe adaptive changes of the foetal heart in intrauterine growth restriction can persist postnatally. Data regarding its consequences for early circulatory adaptation to extrauterine life are scarce. The aim of this study was to assess cardiac morphometry and function in newborns with late-onset intrauterine growth restriction to test the hypothesis that intrauterine growth restriction causes cardiac shape and functional changes at birth.MethodsA comprehensive echocardiographic study was performed in 25 neonates with intrauterine growth restriction and 25 adequate-for-gestational-age neonates.ResultsCompared with controls, neonates with intrauterine growth restriction had more globular ventricles, lower longitudinal tricuspid annular motion, and higher left stroke volume without differences in the heart rate. Neonates with intrauterine growth restriction also showed subclinical signs of diastolic dysfunction in the tissue Doppler imaging with lower values of early (e′) diastolic annular peak velocities in the septal annulus. Finally, the Tei index in the tricuspid annulus was higher in the intrauterine growth restriction group.ConclusionNeonates with history of intrauterine growth restriction showed cardiac remodelling and signs of systolic and diastolic dysfunction. Overall, there was a significant tendency to worse cardiac function results in the right heart. The adaptation to extrauterine life occurred with more globular hearts, higher stroke volumes but a similar heart rate compared to adequate-for-gestational-age neonates.


2008 ◽  
Vol 32 (3) ◽  
pp. 248-248
Author(s):  
A. Naujorks ◽  
P. Zielinsky ◽  
P. A. Beltrame ◽  
R. Castagna ◽  
R. Petracco ◽  
...  

2021 ◽  
Vol 92 (3) ◽  
pp. 195-204
Author(s):  
Rabia Merve Palalioglu ◽  
Halil Ibrahim Erbiyik ◽  
Basak Kaya ◽  
Huseyin Kiyak ◽  
Ali Gedikbasi

2020 ◽  
pp. 8-10
Author(s):  
Rabiya Baseri Nelofar ◽  
Sushma Vuyyuru ◽  
Sri Hari Raavi ◽  
Nandam Hema Mohana Lakshmi

The primary objective of this study is to transvalue the role of colour doppler sonography in the evaluation of pregnancy with intrauterine growth restriction. The study included 50 antenatal women with singleton pregnancy diagnosed as having a fetus with intrauterine growth restriction based on greyscale ultrasound findings. Further, an obstetric Doppler Ultrasound was done, and diagnostic statistics were applied to determine the Umbilical artery PI, RI, and Uterine artery PI, RI and correlating with perinatal outcomes. The specificity, sensitivity, positive predictive value, negative predictive value, and diagnostic accuracy were determined for all Doppler measurements. Among women with an identifiable cause, 42% had pregnancy-induced hypertension (PIH), 40% had moderate to severe anaemia complicating pregnancy. At the same time, 20% of the study group had no detectable cause for IUGR. The persistence of early diastolic notch beyond 26 weeks showed 60% sensitivity as a predictor for the perinatal outcome. The sensitivity of RI, PI of the uterine artery in predicting perinatal outcomes was 73 % and 76.7 %, respectively. Whereas, the sensitivity of RI, PI of the Umbilical artery in predicting perinatal outcomes was 63% and 70%, respectively. Doppler imaging provides indirect evidence of fetal compromise and is known to improve outcomes of high-risk pregnancies with intrauterine growth restriction. Hence, it is of eminent value for monitoring during the pregnancy.


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