| Autor: |
Dutta, Souvik, Jana, Arijeet, Das, Surajit, Chaudhuri, Indrani, Mondal, Arindam |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2024, Vol. 15 Issue 1, p1702-1709, 8p |
| Abstrakt: |
Introduction: The use of radiology, especially ultrasonography, is widely prevalent in obstetric care worldwide. Ultrasonography studies during pregnancy are used to identify fetal abnormalities that may impact the health of the fetus as well as that of the child post-delivery. Aims: To determine the normal values of fetal Myocardial Performance Index (MPI) and lay down its importance in the cardiac workup of foetuses. Materials and Methods: This is a Hospital based observational Prospective Study. It's conducted from 1st April 2021 to 30th September, 2022 at Department of Radio-diagnosis in collaboration with Department of Obstetrics & Gynecology, Burdwan Medical College and Hospital. 115 patients were include in this study. Result: Among 115 mothers, 53.9% were primi-gravida, 33.9% were 2nd gravida and rest 12.2% were 3rd gravida, 57.4% undergo Normal vaginal delivery, 17.4% undergo vaginal delivery with induction and 25.2% undergo caesarean section and among 115 babies 82.6% had normal birth weight rest 17.4% were low birth weight babies. Conclusion: We conclude that myocardial performance index is a better predictor of adverse perinatal outcome than an abnormal IVCT or IVRT. Best results are obtained when MPI is used, rather than IVCT, IVRT and ET separately. In our study MPI had the highest sensitivity of 88.8% in predicting adverse fetal outcomes and 92.3% in predicting perinatal mortality. If the MPI ratio is normal, the fetus is unlikely to have major adverse outcome. This information would be reassuring to parents and referring obstetricians and in addition the fetus would not require intensive surveillance. Doppler patterns follow a longitudinal trend with early changes in the E/A ratio with advancing gestational ages. Fetal heart rate shows a declining trend with increasing gestational age. There was no statistically significant correlation between gestational age with MPI, ICT, IRT and ET. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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