To investigate the correlation between normal fetal biventricular myocardial function and gestational age using velocity vector imaging.

Autor: Hou M; Department of Ultrasonography, Affiliated Hospital of Hebei University, Baoding, China., Duan XJ; Department of Ultrasonography, Affiliated Hospital of Hebei University, Baoding, China., An Y; Department of Obstetrics, Affiliated Hospital of Hebei University, Baoding, China., You JP; Department of Emergency Medicine, Affiliated Hospital of Hebei University, Baoding, China., Bi LL; Department of Ultrasonography, Affiliated Hospital of Hebei University, Baoding, China., Zhou X; Department of Ultrasonography, Affiliated Hospital of Hebei University, Baoding, China., Wan J; Department of Ultrasonography, Affiliated Hospital of Hebei University, Baoding, China., Qu Y; Department of Nursing, Children's Hospital of Hebei Province, Shijiazhuang, China.
Jazyk: angličtina
Zdroj: Frontiers in cardiovascular medicine [Front Cardiovasc Med] 2023 Mar 23; Vol. 10, pp. 920965. Date of Electronic Publication: 2023 Mar 23 (Print Publication: 2023).
DOI: 10.3389/fcvm.2023.920965
Abstrakt: Objective: The aim of this study was to evaluate the left and right ventricular segmental and global myocardial function of normal fetuses using velocity vector imaging and explore the correlation between global myocardial function parameters and gestational age.
Methods: A total of 127 normal fetuses were selected and divided into five groups according to gestational age for the measurement of their left and right ventricular segmental and global velocity, strain, and strain rate. This study also explored the change trend in the global myocardial function parameters at different gestational ages and analyzed its correlation with gestational age.
Results: The peak velocities of the biventricular segments of the normal fetuses showed a decreasing trend from the basal to the middle to the apex segment, and the differences were statistically significant ( P  < 0.05). However, the strain and peak strain rate between adjacent segments showed no significant differences ( P  > 0.05). The peak global velocity of both ventricles increased with the gestational age, and it was moderately correlated with gestational age; however, the correlation of strain and peak strain rate with gestational age was not statistically significant ( P  > 0.05).
Conclusion: In normal fetuses, the peak myocardial velocity of the biventricular segments showed a decreasing trend from the basal to the apical segment. The global peak myocardial velocity was linearly correlated with gestational age; however, the global strain and peak strain rate did not change as gestational age increased, indicating that the myocardial deformability of the fetus' ventricles was constant in the middle and late trimesters.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(© 2023 Hou, Duan, An, You, Bi, Zhou, Wan and Qu.)
Databáze: MEDLINE