Area of the right atrium of the fetal heart and its significance in fetuses with tricuspid regurgitation
| Autor: | Tomas Gruszka, Hana Tomášková, Eva Klásková, Jan Pavlíček, Marian Kacerovsky, Dana Šalounová, Alicja Piegzova |
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| Rok vydání: | 2021 |
| Předmět: |
Heart Defects
Congenital medicine.medical_specialty Fetal heart Regurgitation (circulation) 030204 cardiovascular system & hematology Ultrasonography Prenatal 03 medical and health sciences Fetal Heart 0302 clinical medicine Pregnancy Internal medicine medicine Humans heterocyclic compounds Heart Atria Fetus 030219 obstetrics & reproductive medicine business.industry food and beverages Obstetrics and Gynecology biochemical phenomena metabolism and nutrition Nomogram Tricuspid Valve Insufficiency carbohydrates (lipids) medicine.anatomical_structure Pediatrics Perinatology and Child Health Cardiology Right atrium Female lipids (amino acids peptides and proteins) business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 35:5253-5259 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.1080/14767058.2021.1876655 |
| Popis: | The first aim was to develop a nomogram for the area of the right atrium (ARA) of the fetal heart in uncomplicated singleton pregnancies. The second aim was to assess diagnostic indices of ARA to distinguish between tricuspid regurgitation (TR) with and without concomitant congenital heart defect (CDH).The study was conducted between 2014 and 2019. Fetal echocardiography was performed on fetuses with and without TR. For the first aim, ARA was measured in 460 fetuses without proven structural and chromosomal abnormalities, and for the second aim, ARA was measured in 1077 fetuses with TR.A nomogram for the ARA of fetuses with normal hearts was developed. TR was observed in 4.5% (1077/23,771) of euploid fetuses; 4.3% (1020/23,771) of fetuses had TR without a concomitant CHD, and 0.2% (57/23,771) fetuses had TR with a concomitant CHD. No significant differences in ARAs were found between fetuses with normal hearts without TR (ARA seems to be an auxiliary marker to distinguish the presence of CHD in fetuses with TR. |
| Databáze: | OpenAIRE |
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