scholarly journals OP11.08: Quantification of fetal myocardial function in pregnant women with diabetic diseases and in normal controls using speckle‐tracking echocardiography (STE)

2019 ◽  
Vol 54 (S1) ◽  
pp. 122-122
Author(s):  
K. Hammer ◽  
N. Rolf ◽  
L. Kerschke ◽  
J. Braun ◽  
M. Falkenberg ◽  
...  
2018 ◽  
Vol 47 (1) ◽  
pp. 68-76 ◽  
Author(s):  
Nina Rolf ◽  
Laura Kerschke ◽  
Janina Braun ◽  
Maria Karina Falkenberg ◽  
Kerstin Hammer ◽  
...  

Abstract Background The purpose of our study was to quantify the fetal myocardial function in pregnant women with diabetic diseases (FDM) and in normal controls (FC) using speckle tracking echocardiography (STE). Methods In this prospective study, the myocardial strain and dyssynchrony were analyzed using STE in a transversal four-chamber view in 180 fetuses (53 FDM, 127 FC) between 19 and 39 weeks of gestation. The measurements of the global and segmental longitudinal strain of both chambers (2C) and of the single left chamber (1C) were executed offline via QLab 10.5 (Philips Medical Systems, Andover, MA, USA). We assessed dyssynchrony as the time difference between peaks in strain in the mid segments of both chambers (interventricular dyssynchrony, 2C_DYS) and of the single left chamber (intraventricular dyssynchrony, 1C_DYS). Results Measurements were feasible with a high median frame rate of 199 frames/s (1st quartile: 174, 3rd quartile: 199). The global and segmental myocardial longitudinal strain of 2C and 1C were decreased and 2C_DYS and 1C_DYS were increased in pregnancies with diabetes compared to normal controls. Conclusion Our study demonstrates that fetal hearts affected by maternal diabetes mellitus (DM) show low myocardial strain values and high interventricular dyssynchrony. Two-chamber interventricular dyssynchrony has the potential to become a diagnostic marker for DM.


Author(s):  
S.I. Buryakova, M.V. Medvedev

The article deals with the physiology of the heart and methods to assess fetal cardiac function. The leadingedge technique to assess the myocardial deformation properties by speckle tracking echocardiography in prenatal period is presented.


Cor et Vasa ◽  
2008 ◽  
Vol 50 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Jaroslav Meluzín ◽  
Helena Podroužková ◽  
Martin Pešl ◽  
Pavel Leinveber ◽  
Marek Orban

2019 ◽  
Vol 11 (4) ◽  
pp. 309-313
Author(s):  
Atoosa Mostafavi ◽  
Yaser Tase Zar ◽  
Farahnaz Nikdoust ◽  
Seyed Abdolhossein Tabatabaei

Introduction: In light of previous studies reporting the significant effects of preeclampsia on cardiac dimensions, we sought to evaluate changes in the left ventricular (LV) systolic and diastolic functions in patients with preeclampsia with a view to investigating changes in cardiac strain. <br /> Methods: This cross-sectional study evaluated healthy pregnant women and pregnant women suffering from preeclampsia who were referred to our hospital for routine healthcare services. LV strain was measured by 2D speckle-tracking echocardiography. <br /> Results: Compared with the healthy group, echocardiography in the group with preeclampsia showed a significant increase in the LV end-diastolic diameter (47.43 ± 4.94 mm vs 44.84 ± 4.30 mm; P = 0.008), the LV end-systolic diameter (31.16 ± 33.3 mm vs 29.20 ± 3.75 mm; P = 0.008), and the right ventricular diameter (27.93 ± 1.71 mm vs 24.53 ± 23.3; P = 0.001). The mean global longitudinal strain was -18.69 ± 2.8 in the group with preeclampsia and -19.39 ± 3.49 in the healthy group, with the difference not constituting statistical significance (P = 0.164). The mean global circumferential strain in the groups with and without preeclampsia was -20.4 ± 12.4 and -22.68 ± 5.50, respectively, which was significantly lower in the preeclampsia group (P = 0.028).<br /> Conclusion: The development of preeclampsia was associated with an increase in the right and left ventricular diameters, as well as a decrease in the ventricular systolic function, demonstrated by a decline in global circumferential strain.


2013 ◽  
Vol 73 (10) ◽  
pp. 1833-1839 ◽  
Author(s):  
Nowell M Fine ◽  
Cynthia S Crowson ◽  
Grace Lin ◽  
Jae K Oh ◽  
Hector R Villarraga ◽  
...  

2018 ◽  
Vol 37 (12) ◽  
pp. 3351-3358 ◽  
Author(s):  
Gabriela Medina ◽  
Eduardo Gómez-Bañuelos ◽  
Erick Calderón-Aranda ◽  
María Pilar Cruz-Domínguez ◽  
Olga Vera-Lastra ◽  
...  

2016 ◽  
Vol 27 (4) ◽  
pp. 1404-1415 ◽  
Author(s):  
Mariana M. Lamacie ◽  
Paaladinesh Thavendiranathan ◽  
Kate Hanneman ◽  
Andreas Greiser ◽  
Marie-Pierre Jolly ◽  
...  

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