Clinical application of fetal left modified myocardial performance index in the evaluation of fetal growth restriction
| Autor: | Brian C. Brost, Alaaeldin Abdelhamid Youssef, Alaa M. Ismail, Ahmed A. Nassr, Mahmoud S. Zakherah |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Intrauterine growth restriction Ultrasonography Prenatal Fetal Heart Pregnancy Internal medicine medicine.artery medicine Humans Prospective Studies Prospective cohort study reproductive and urinary physiology Fetus Fetal Growth Retardation medicine.diagnostic_test Obstetrics business.industry Case-control study Obstetrics and Gynecology Ultrasonography Doppler Umbilical artery medicine.disease female genital diseases and pregnancy complications Case-Control Studies embryonic structures Pediatrics Perinatology and Child Health Cardiology Gestation Female business Fetal echocardiography |
| Zdroj: | Journal of Perinatal Medicine. 43:749-754 |
| ISSN: | 1619-3997 0300-5577 |
| DOI: | 10.1515/jpm-2014-0018 |
| Popis: | Objective: This study aims to evaluate cardiac function in fetuses with intrauterine growth restriction (IUGR) compared with healthy fetuses, using the left modified myocardial performance index (MPI) and the association between MPI and perinatal outcome. Methods: Pregnant women between 34 and 39 weeks of gestation, who met the criteria for IUGR and were scheduled for delivery at an Egyptian tertiary medical center, were prospectively enrolled in the study. Women in the same gestational-age group with uncomplicated pregnancies were included as a control group. MPI was measured in all fetuses. The IUGR group was analyzed based on normal and abnormal umbilical artery (UA) Doppler. Perinatal outcomes were recorded. Results: The mean left MPI was significantly higher in IUGR fetuses with abnormal UA Doppler (mean 0.58±SD 0.093) compared with healthy fetuses (mean 0.45±SD 0.070) (P Conclusion: MPI is a potentially useful tool in evaluating fetuses with suspected IUGR, which is crucial in classifying IUGR pregnancies into critical and non-critical cases and in predicting neonatal outcome. |
| Databáze: | OpenAIRE |
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