Automated quantitative evaluation of fetal atrioventricular annular plane systolic excursion

Herling, Lotta; Johnson, Jonas; Ferm-Widlund, K.; Zamprakou, Aikaterini; Westgren, Magnus; Acharya, Ganesh

doi:10.1002/uog.23703

Cited by 12 publications

(18 citation statements)

References 31 publications

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“…Using both anatomic and conventional M-mode, increase in fMAPSE throughout the course of gestation has previously been reported from researches conducted in other parts of the world, and our findings are in tandem with these reports [4,8,9,11,15,16] . This radiological feature of the foetal left ventricular function in normal pregnancy has not yet been extensively investigated, especially in Nigeria.…”

Section: Discussionsupporting

confidence: 91%

Evaluation of foetal mitral annular plane systolic excursion with conventional m-mode ultrasound in normal pregnancy

Oriji¹,

Ubom²,

Briggs³

et al. 2022

Int. J. Radiol. Diagn. Imaging

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Background: Foetal mitral annular plane systolic excursion (fMAPSE) helps in the evaluation of the left foetal cardiac function, which is key in the early diagnosis of congenital heart defects and abnormalities. Objectives: To assess foetal MAPSE in the second half of normal pregnancy, to establish reference ranges for this measurement in our environment, and to determine the relationship between foetal MAPSE and gestational age and estimated foetal weight. Materials and Methods: This descriptive cross-sectional study was conducted between March 2022 and August 2022 at the Obstetric Units and Radiology Departments of the two tertiary facilities, one secondary facility and one radiodiagnostic facility in Bayelsa State, Nigeria. Consenting pregnant women presenting to the antenatal clinics of the study centres during the second half of pregnancy were consecutively included. Obstetric ultrasound scans were was transabdominally. Data were analysed using SPSS version 25. Results: The correlation coefficient (ɼ) between fMAPSE and gestational age was 0.21 with a p-value of 0.001, reflecting a significant but weak relationship between fMAPSE and gestational age. There was a positively weak but significant relationship (ɼ = 0.29; p -0.001) between fMAPSE and estimated foetal weight. Conclusion: Our study revealed that there was a significant relationship between fMAPSE and gestational age, and between fMAPSE and estimated foetal weight, which correlates with published data around the globe.

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Section: Discussionsupporting

confidence: 91%

Evaluation of foetal mitral annular plane systolic excursion with conventional m-mode ultrasound in normal pregnancy

Oriji¹,

Ubom²,

Briggs³

et al. 2022

Int. J. Radiol. Diagn. Imaging

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“…After considering the four aspects of the right heart function measurement comprehensively, i.e., repeatability, the size of the measurement error, the measurement stability, and the reliability of the right heart function evaluation, we finally chose two indicators, namely the TAPSE value and the Tei index. It is believed that the TAPSE value can be used as an important parameter to evaluate the fetal right heart contraction function, and it has good reproducibility and lower requirements for equipment ( Herling et al, 2021 ; Messing et al, 2013 ). In this study, the numerical measurement was observed to be more dependent on the angle of the sampling line and the flow direction.…”

Section: Discussionmentioning

confidence: 99%

Effect of oval foramen restriction and premature contraction of the arterial catheter on right heart function of fetuses and infants

Liu

Cao

et al. 2023

PeerJ

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Objective The effect of fetal oval foramen restriction and premature contraction of the arterial catheter for the right heart function of fetuses and infants was studied by evaluating the right and left ventricular (RV/LV) ratios, the tricuspid annular plane systolic excursion (TAPSE) value, and the Tei index of right heart function parameters. Methods This study was approved by the Ethics Committee of First Affiliated Hospital of Hebei North University (K20190116). We collected 257 fetuses between March 2020 and December 2021. Among these, 98 fetuses that did not have any heart abnormalities were assigned to group A, 91 fetuses with restriction of the left and right atrial channels were assigned to group B, and 68 fetuses with premature contraction of the arterial catheter were assigned to group C. The ventricular transverse diameter, the right heart TAPSE value and the Tei index of fetuses in late pregnancy and 90 days after birth were measured in the three groups, and the diagnostic value of each index for the right heart function injury was evaluated. P < 0.05 indicates significant. Results The P-value of the TAPSE value and Tei index of infants in BC and AC groups and postnatal infants were less than 0.05, which was significant. In the BC group, the RV/LV ratio of fetuses was compared when P > 0.05, which was not significant; however, P < 0.05 after birth was considered significant. For fetuses and postnatal infants in the BC group, the RV/LV ratio was negatively associated with the TAPSE value. However, it was positively associated with the Tei index; Diagnostic test results. To predict impaired right heart function after birth, TAPSE had low diagnostic value, RV/LV and Tei index had high diagnostic value. Conclusions Oval foramen restriction and premature contraction of the arterial catheter may affect the right heart function after birth and be related to the degree of the right heart enlargement. Although TAPSE prediction of the fetal and postnatal right heart function is limited, the RV/LV ratio and the Tei index can be used to predict impaired right heart function after birth.

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“…19 Herling et al investigated 35 FGR cases and demonstrated that TAPSE and MAPSE were substantially lower than AGA fetuses. 20 Crispi et al suggested that parameters reflecting longitudinal function such as TAPSE are typically affected in the very early stages compared to radial functions such as ejection fraction. Therefore, TAPSE is a more sensitive parameter that has been proposed for earlier diagnosis and monitoring of fetal cardiac dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…They found that TAPSE was significantly lower in FGR cases than infant hypertension and arterial remodeling 19 . Herling et al investigated 35 FGR cases and demonstrated that TAPSE and MAPSE were substantially lower than AGA fetuses 20 . Crispi et al suggested that parameters reflecting longitudinal function such as TAPSE are typically affected in the very early stages compared to radial functions such as ejection fraction.…”

Section: Discussionmentioning

confidence: 99%

Fetal cardiac alterations in the late‐onset growth‐restricted fetuses: A prospective case–control study

Türkyilmaz

Turkyilmaz²,

Uygur

2021

J of Obstet and Gynaecol

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Aim: Fetal growth restriction (FGR) has significant consequences on cardiac functions. This study aims to evaluate cardiac functional parameters in late-onset (FGR) fetuses and compare those appropriate for gestational age (AGA) fetuses. Material and Methods: Fifty-six singleton pregnancies were involved in this prospective case-control study. Delphi consensus was used to define late-onset FGR. We compared the E/A ratio, left myocardial performance index (MPI) and tricuspid annular plane systolic excursion (TAPSE) in late-onset FGR cases and gestational age-matched AGA fetuses. Results: Twenty-eight late-onset FGR and 28 AGA fetuses were enrolled. The mean gestational age in the late-onset FGR group was 34.1 AE 2.3 weeks and 34.4 AE 2.1 in controls. The E/A ratio was 0.88 AE 0.09 in AGA fetuses, 0.79 AE 0.11 in the late-onset FGR group, and significantly lower in late-onset FGR fetuses (p: 0.012). Left MPI was 0.51 AE 0.09 in AGA and 0.62 AE 0.11 in the late-onset FGR group. Left MPI was markedly higher in late-onset FGR fetuses (p: 0.024). TAPSE was 7.4 AE 2.9 mm in controls and 5.2 AE 1.8 in the late-onset FGR group, and it was significantly shorter in the late-onset FGR fetuses (p: 0.016). Conclusion: Late-onset FGR is associated with cardiac remodeling and dysfunction. Fetal echocardiography may be beneficial to detect those subtle cardiac changes.

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Automated quantitative evaluation of fetal atrioventricular annular plane systolic excursion

Abstract: This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process which may lead to differences between this version and the Version of Record. Please cite this article as

Cited by 12 publications

References 31 publications

Evaluation of foetal mitral annular plane systolic excursion with conventional m-mode ultrasound in normal pregnancy

Evaluation of foetal mitral annular plane systolic excursion with conventional m-mode ultrasound in normal pregnancy

Effect of oval foramen restriction and premature contraction of the arterial catheter on right heart function of fetuses and infants

Fetal cardiac alterations in the late‐onset growth‐restricted fetuses: A prospective case–control study

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