Fetal Cardiac Function: Myocardial Performance Index

Oliveira, Mariana; Dias, José G.; Guedes-Martins, Luís

doi:10.2174/1573403x18666211227145856

Cited by 10 publications

(3 citation statements)

References 93 publications

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“…Fetal hemodynamics abnormalities affect the fetal heart function to a certain extent [ 12 ]. The myocardial performance index (MPI), also known as the Tei index, was proposed by Tei in 1995, and modified MPI was a reliable index to assess fetal heart function under variety of pregnancy conditions including FGR [ 13 , 14 ]. However, there are not many clinical reports on the predictive value of MPI on FGR pregnancy outcome.…”

Section: Introductionmentioning

confidence: 99%

Prenatal Prediction of Fetal Growth Restriction and Postnatal Outcomes by Ultrasound Assessment of Fetal Myocardial Performance Index and Blood Flow Spectrum

Wang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. Fetal growth restriction (FGR) affects 5% to 10% of newborns and is a major determinant of perinatal morbidity and mortality. Myocardial performance index (MPI), also known as the Tei index, is a useful, noninvasive, and Doppler-derived myocardial performance tool for fetal cardiac function evaluation. The purpose of the study is to evaluate ultrasonic prediction on FGR and postnatal outcomes using MPI and blood flow spectrum. Methods. This retrospective study included 240 pregnant women developing FGR and 240 healthy pregnant women. The blood flow spectrum of middle cerebral artery (MCA), umbilical artery (UA), and ductus venous including systolic to diastolic ratio (S/D), resistant index (RI), pulse index (PI), and peak ventricular systolic velocity/atrial contraction valley velocity (S/a) were examined using the GE Voluson E8 ultrasound system. Results. The MPI, S/D, RI, PI of UA, and S/a were all higher but S/D, RI, and PI of MCA were lower in the FGR group than those in the control group P < 0.001 . The MPI, S/D, RI, PI of UA, S/D, RI, PI of MCA, and ductus venous S/a yielded AUC of 0.813, 0.835, 0.791, 0.804, 0.789, 0.796, 0.803, and 0.784 when they were used to predict the incidence of FGR. Of note, the pregnant women with poor pregnancy outcomes exhibited higher values of MPI, S/D, RI, PI of UA, and S/a with lower scores of 1 min Apgar concomitant with lower values regarding S/D, RI, and PI of MCA than those with favorable pregnancy outcomes P < 0.001 . The MPI (r = −0.623), S/D (r = −0.660), RI (r = −0.601), PI (r = −630) of UA, and S/a (r = −0.573) shared negative correlations with 1 min Apgar scores P < 0.001 . Of note, the S/D (r = 0.562), RI (r = 0.597), and PI (r = 0.619) of MCA were positively correlated with 1 min Apgar scores P < 0.001 . It was revealed that the MPI, S/D, RI, PI of UA, S/D, RI, PI of MCA, and ductus venous S/a yielded AUC of 0.806, 0.833, 0.774, 0.788, 0.807, 0.729, 0.748, and 0.770 when they were used to predict the incidence of poor pregnancy outcomes for pregnant women developing FGR. Conclusion. Our study demonstrates good ultrasonic prediction on FGR and postnatal outcomes using MPI and blood flow spectrum.

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Section: Introductionmentioning

confidence: 99%

Prenatal Prediction of Fetal Growth Restriction and Postnatal Outcomes by Ultrasound Assessment of Fetal Myocardial Performance Index and Blood Flow Spectrum

Wang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…Tei Chuwa created the Tei index, a myocardial performance assessment, in 1995. The Tei index may measure LV systolic and diastolic performance and forecast heart disease 1 …”

Section: Introductionmentioning

confidence: 99%

“…The Tei index may measure LV systolic and diastolic performance and forecast heart disease. 1 A high Tei index indicates poor overall cardiac function, as it suggests that the heart is taking longer to complete the systolic and diastolic phases of the cardiac cycle. The Tei index has been used in the assessment of various cardiac conditions, including heart failure, myocardial infarction, and congenital heart disease.…”

Section: Introductionmentioning

confidence: 99%

Myocardial performance index and cardiovascular diseases

Aşkın¹,

Yüce²,

Tanrıverdi

2023

Echocardiography

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The Myocardial Performance Index (MPI), also known as the Tei Index, is a measure of the overall performance of the heart that takes into account both systolic and diastolic function. It is a non‐invasive echocardiographic index that provides information about the efficiency of the heart's pumping action. The MPI is a useful tool for evaluating cardiac function in various clinical conditions, such as heart failure, myocardial infarction, and cardiomyopathy. A higher MPI value indicates poorer cardiac function, while a lower MPI value indicates better cardiac function. This review will give a summary of the relevant MPI literature, provide a methodology and technical aspects, and make research recommendations.

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Assessment of fetal cardiac function in pregnant women with anemia: prospective case–control study

Agaoglu,

Tanacan,

Gurbuz

et al. 2024

Ultrasound in Obstet & Gyne

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ObjectiveTo compare the fetal cardiac functions between pregnant women with iron deficiency anemia (IDA) and healthy controls.MethodsThis single‐center, prospective, case‐control study was conducted at a tertiary hospital. A total of 150 patients, including 50 patients with IDA and 100 healthy pregnant women at 30‐34 weeks of gestation, were included in the study. Of the patients with anemia, 20 had mild anemia, 18 had moderate anemia, and 12 had severe anemia. Pulsed‐wave Doppler, M‐mode, and tissue Doppler imaging (TDI) were performed to evaluate fetal cardiac functions. The fetal cardiac score was calculated using the systolic, diastolic, and global hemodynamic function parameters.ResultsThe myocardial performance index and isovolumetric relaxation time were significantly higher in the IDA group than the control group, while isovolumetric contraction time was similar. Among the tricuspid and mitral valve diastolic parameters, the E, A, and E/A values were significantly lower in the IDA group (p<0.001). Mitral and tricuspid annular plane systolic excursions (MAPSE and TAPSE, respectively) were significantly lower in the IDA group (p<0.001). The IDA group also had significantly lower values for the TDI parameters, mitral and tricuspid E', A', S', E'/A' and a significantly higher E/E’ ratio (p<0.001). Upon examination of anemia subgroups, a significant decrease was observed in the tricuspid and mitral A, E, and E/A in those with severe anemia (p<0.001). M‐mode Doppler analysis revealed significantly lower TAPSE and MAPSE in the patient group with severe anemia. According to the subgroup comparison of TDI findings, the patients with severe anemia had significantly lower tricuspid and mitral E’, A’, S’ and E’/A’ (p<0.001) values and a significantly higher E/E’ ratio (p<0.001). The fetal cardiac score was significantly higher in the maternal IDA group compared to the control group. A significant negative correlation was found between maternal hemoglobin level and fetal cardiac score (p<0.001).ConclusionsThere may be changes in the systolic and diastolic cardiac functions of the fetuses of pregnant women with IDA. This study showed an increased E/E’ ratio in the fetuses of pregnant women with IDA, suggesting a decrease in fetal heart maturation. Within the IDA group, fetal cardiac functions were more affected in those with severe anemia.This article is protected by copyright. All rights reserved.

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Fetal Cardiac Function: Myocardial Performance Index

Cited by 10 publications

References 93 publications

Prenatal Prediction of Fetal Growth Restriction and Postnatal Outcomes by Ultrasound Assessment of Fetal Myocardial Performance Index and Blood Flow Spectrum

Prenatal Prediction of Fetal Growth Restriction and Postnatal Outcomes by Ultrasound Assessment of Fetal Myocardial Performance Index and Blood Flow Spectrum

Myocardial performance index and cardiovascular diseases

Assessment of fetal cardiac function in pregnant women with anemia: prospective case–control study

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