Ductus arteriosus diameters in fetuses with early- and late-onset fetal growth restriction.

ductus arteriosus echocardiography fetal growth restriction left ventricle mitral E/A mod‐MPI

Journal

Journal of clinical ultrasound : JCU
ISSN: 1097-0096
Titre abrégé: J Clin Ultrasound
Pays: United States
ID NLM: 0401663

Informations de publication

Date de publication:
03 Jun 2024
Historique:
revised: 15 04 2024
received: 31 01 2024
accepted: 16 05 2024
medline: 4 6 2024
pubmed: 4 6 2024
entrez: 3 6 2024
Statut: aheadofprint

Résumé

Fetal growth restriction (FGR) is a common pregnancy complication that can be associated with several adverse perinatal outcomes. One of these negative outcomes is ductus arteriosus, especially in preterm babies. In this study, intrauterine heart function and ductus diameter were evaluated in babies with FGR. Thirty-seven fetuses with FGR were compared with 37 normal-weight fetuses at the same gestational week. In our study, ventricular diameters, aorta, pulmonary artery, ductus arteriosus (DA), aortic arch diameter, and flow traces were examined. In addition, the aorta and aortic isthmus diameters were proportioned to the ductus diameter, and the left ventricular myocardial performance index (MPI) [(ICT + IRT)/ET] was evaluated. There was no difference in DA diameters between the patient and control groups. The intragroup comparison of the cases with early- and late-onset FGR revealed no statistically significant difference between DA diameters. However, the ratios of the aortic annulus diameter/ductus diameter (AOD/DAD) and aortic isthmus diameter/ductus diameter (AID/DAD) were significantly lower in early-onset FGR because the diameter of the DA was greater. In addition, the mod-MPI values were higher in the patient group. In our study, although the ductal diameters did not change significantly in the patient group, the ductal diameter was greater in the early-onset intrauterine growth restriction (FGR) group compared with other cardiac measurements. The mod-MPI value, a cardiac function indicator, was higher in fetuses with FGR. These findings may be useful for evaluating postnatal cardiac functions in FGR.

Identifiants

pubmed: 38830837
doi: 10.1002/jcu.23737
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 Wiley Periodicals LLC.

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Auteurs

Tülay Demircan (T)

School of Medicine, Department of Pediatric Cardiology, Dokuz Eylul University, Izmir, Turkey.

Bahar Konuralp Atakul (BK)

Department of Perinatology, Tepecik Training and Research Hospital, Izmir, Turkey.

Barış Güven (B)

Department of Pediatric Cardiology, Tepecik Training and Research Hospital, Izmir, Turkey.

Kaan Yıldız (K)

Department of Pediatric Cardiology, Tepecik Training and Research Hospital, Izmir, Turkey.

Cem Karadeniz (C)

School of Medicine, Department of Pediatric Cardiology, Katip Celebi University, Izmir, Turkey.

Büşra Emir (B)

Faculty of Medicine, Department of Biostatistics, Katip Celebi University, Izmir, Turkey.

Mehmet Özeren (M)

Department of Perinatology, Tepecik Training and Research Hospital, Izmir, Turkey.

Nazmi Narin (N)

School of Medicine, Department of Pediatric Cardiology, Katip Celebi University, Izmir, Turkey.

Classifications MeSH