Evaluation of the fetal myocardial performance ındex and Epicardial fat thickness in pregnant women with preterm prelabor rupture of membranes

Sakcak, Bedri; Farisoğulları, Nihat; Denızlı, Ramazan; Beşer, Dilek Menekşe; Ayhan, Şule Göncü; Öcal, Fatma Doğa; Şahın, Dilek

doi:10.1080/14767058.2023.2192322

The Journal of Maternal-Fetal & Neonatal Medicine

2023

DOI: 10.1080/14767058.2023.2192322

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Evaluation of the fetal myocardial performance ındex and Epicardial fat thickness in pregnant women with preterm prelabor rupture of membranes

Bedri Sakcak

Nihat Farisoğulları

Ramazan Denızlı

et al.

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Cited by 2 publications

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Fetal epicardial fat thickness and modified myocardial performance index in late‐onset fetal growth restriction

Dal,

Akkuş,

Karagün

et al. 2024

J of Clinical Ultrasound

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AimIn our study, we aimed to investigate the value of fetal epicardial fat thickness (EFT) and modified myocardial performance index (mod‐MPI) in fetal growth restriction (FGR) that develops after the 32nd week of gestation.Materials and MethodsFifty‐six pregnant women who met the inclusion and exclusion criteria were included in the study and were divided into two groups: pregnancies diagnosed with FGR after the 32nd week of gestation (FGR group) and those without (control group). Demographic and obstetric histories, ultrasonographic and clinical characteristics, fetal EFT and mod‐MPI values, and neonatal outcomes of the groups were recorded, and comparisons were made between the groups. Additionally, the diagnostic performance of fetal EFT value in late FGR was investigated.ResultsThe FGR group had fetal EFT that was statistically significantly lower (1.11 ± 0.21 vs. 1.34 ± 0.23, p = 0.001). The FGR group had a significantly lower isovolumetric contraction time (ICT) (31.04 ± 6.88 vs. 35.14 ± 7.58, p = 0.048). The two groups' isovolumetric relaxation time (IRT), ejection time (ET), and mod‐MPI values (p values 0.871, 0.55, and 0.750, respectively) were comparable. Receiver operating characteristic (ROC) analysis at a cutoff of 1.2 revealed 76.1% sensitivity and 74.2% specificity, respectively, for the diagnostic performance of the fetal EFT value in late‐onset FGR. There was a positive predictive value (PPV) and negative predictive value (NPV) of 64.0% and 83.8%, respectively.ConclusionWe found that fetal EFT was significantly lower in FGR and may be useful in diagnosing FGR. However, we observed that mode‐MPI did not change in FGR.

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Fetal epicardial fat thickness and modified myocardial performance index in late‐onset fetal growth restriction

Dal,

Akkuş,

Karagün

et al. 2024

J of Clinical Ultrasound

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Evaluation of fetal cardiac output in preterm premature rupture of membranes

Ozturk Agaoglu,

Turgut,

Agaoglu

et al. 2023

Echocardiography

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AimWe aimed to investigate fetal cardiac output (CO) in pregnancies with preterm premature rupture of membranes (PPROM) and its relationship with umbilical cord pH.MethodsThis was a prospective study in total 90 pregnancies at 24–37 weeks gestation including 42 pregnancies with PPROM and 48 that healthy controls. Fetal cardiac function including combined, left and right CO z‐scores were compared. The neonates in the PPROM group were separated with umbilical cord pH above and below 7.25, and cardiac output was compared between groups.ResultsIn PPROM group, CCO z‐score, left cardiac output (LCO) z‐score, and right cardiac output (RCO) were significantly lower compared to healthy pregnancies (p = .036, p = .001, p = .032, respectively), while RCO z‐score showed no significant differences between the two groups. The aortic annulus and pulmonary artery annulus z‐scores were measured smaller in the PPROM group (p = .000 and p = .001, respectively). In PPROM group, the fetal LCO z‐score was significantly lower in neonates with an umbilical cord pH of 7.25 or less (p = .048).ConclusionThis study provides evidence that fetal CCO is lower in PPROM compared with healthy pregnancies. Reduced LCO z‐scores may be useful for predicting adverse neonatal outcomes in pregnancies with PPROM.

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Evaluation of the fetal myocardial performance ındex and Epicardial fat thickness in pregnant women with preterm prelabor rupture of membranes

Cited by 2 publications

References 29 publications

Fetal epicardial fat thickness and modified myocardial performance index in late‐onset fetal growth restriction

Fetal epicardial fat thickness and modified myocardial performance index in late‐onset fetal growth restriction

Evaluation of fetal cardiac output in preterm premature rupture of membranes

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