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Comparison of fetal cardiac functions between small-for-gestational age fetuses and late-onset growth-restricted fetuses.
Kaya, Basak; Tayyar, Ahmet; Açar, Deniz Kanber; Kaya, Serdar.
Afiliación
  • Kaya B; Department of Maternal-Fetal Medicine, Istanbul Medipol University Hospital, Istanbul, Turkey.
  • Tayyar A; Department of Maternal-Fetal Medicine, Istanbul Medipol University Hospital, Istanbul, Turkey.
  • Açar DK; Department of Maternal-Fetal Medicine, Health Sciences University, Bakirköy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey.
  • Kaya S; Department of Maternal-Fetal Medicine, Akdeniz University, Antalya, Turkey.
J Perinat Med ; 47(8): 879-884, 2019 Oct 25.
Article en En | MEDLINE | ID: mdl-31393834
Background This study aimed to investigate fetal cardiac functions by spectral tissue Doppler imaging (s-TDI) in pregnancies complicated with late-onset fetal growth restriction (LO-FGR) and small-for-gestational age (SGA). Methods Forty pregnancies complicated with late-onset FGR and 40 pregnancies complicated with SGA between the 34th and 37th weeks of gestation were enrolled in this study. Forty gestational age-matched pregnant women with no obstetrics complication were randomly selected as a control group. Small fetuses were classified as fetal growth restriction or SGA according to estimated fetal weight (EFW), umbilical artery pulsatility index (PI), cerebroplacental ratio (CPR) and uterine artery PI. s-TDI measurements were obtained at the right atrioventricular valve annulus. Results SGA and LO-FGR fetuses had significantly lower A' and S' values, and higher E'/A' ratio than the control group (P < 0.001). In comparison to controls, significantly prolonged isovolumetric contraction time (ICT') and isovolumetric relaxation time (IRT') and, significantly shortened ejection time (ET') were observed in fetuses with SGA and LO-FGR. Increased myocardial performance index (MPI') values were also found in fetuses with SGA and LO-FGR compared to controls. Conclusion The signs of cardiac dysfunction were observed both in fetuses with SGA and LO-FGR. The fetal cardiac function assessment with s-TDI could be a valuable method in the diagnosis of true growth restricted fetuses and in the management of these fetuses.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Retardo del Crecimiento Fetal / Corazón Fetal Límite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Perinat Med Año: 2019 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Retardo del Crecimiento Fetal / Corazón Fetal Límite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: J Perinat Med Año: 2019 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania