Value of annular M‐mode displacement <i>vs</i> tissue Doppler velocities to assess cardiac function in intrauterine growth restriction

Cruz‐Lemini, M.; Crispi, F.; Valenzuela-Alcaráz, Brenda; Figueras, F.; Sitges, Marta; Gómez, O.; Bijnens, Bart; Gratacós, Eduard

doi:10.1002/uog.12374

Cited by 84 publications

(90 citation statements)

References 59 publications

(97 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Doppler-derived strain imaging (Tissue Doppler Imaging -TDI) of the fetal heart has provided valuable information on global and regional myocardial motion and deformation, with higher sensitivity in detecting subclinical fetal cardiac dysfunction compared to conventional Doppler 5,10 . TDI is, however, limited by angle dependency, sensitivity to extra-cardiac movement, need for good-quality images and time-consuming post-processing.…”

Section: New Echocardiographic Imaging Technology Such As Tissue Doppmentioning

confidence: 99%

Increased pulsatility in the fetal ductus venosus is not related to altered cardiac strain in high-risk pregnancies

Dahlbäck

Gudmundsson

2015

The Journal of Maternal-Fetal & Neonatal Medicine

View full text Add to dashboard Cite

Objective: Blood flow velocity patterns in fetal veins are considered to reflect cardiac function, but have not been convincingly documented. The aim of this study was to generate reference values for fetal cardiac strain and compare it with results in fetuses with signs of increased venous pulsatility.Methods: Cardiac 4 chamber-loops were prospectively stored and analyzed for strain and strain rate in a cohort of 250 healthy fetuses. The results were compared with recordings in 38 fetuses with increased vascular impedance in the umbilical artery, including several with abnormal blood flow velocities in the ductus venosus and umbilical vein. Results:In the control group, strain rate was slightly higher in the right ventricle, but strain and velocities were similar. There was a significant effect of frame rate on the values of strain and strain rate, but not on velocity. No differences in cardiac strain or strain rate were observed between the control group and the compromised fetuses.There was no correlation between changes in venous blood flow and cardiac strain. Conclusions:Increased venous pulsatility was not related to fetal cardiac strain. This might indicate that the ductus venosus does not primarily open due to increased central venous pressure and that cardiac strain is affected late in the process of moderate fetal hypoxia.3

show abstract

Section: New Echocardiographic Imaging Technology Such As Tissue Doppmentioning

confidence: 99%

Increased pulsatility in the fetal ductus venosus is not related to altered cardiac strain in high-risk pregnancies

Dahlbäck

Gudmundsson

2015

The Journal of Maternal-Fetal & Neonatal Medicine

View full text Add to dashboard Cite

show abstract

“…It can also be applied to mitral annulus (MAPSE) 40 . Normal ranges for fetus are published 41 and recently described as a very sensitive parameter for assessing cardiac dysfunction in several fetal conditions such as fetal growth restriction 42 …”

Section: Importance Of Fetal Cardiac Functionmentioning

confidence: 99%

Ultrasound assessment of fetal cardiac function

Crispi

Valenzuela-Alcaráz

Cruz‐Lemini

et al. 2013

Australas J Ultrason Med

View full text Add to dashboard Cite

Introduction: Fetal heart evaluation with US is feasible and reproducible, although challenging due to the smallness of the heart, the high heart rate and limited access to the fetus. However, some cardiac parameters have already shown a strong correlation with outcomes and may soon be incorporated into clinical practice. Materials and Methods: Cardiac function assessment has proven utility in the differential diagnosis of cardiomyopathies or prediction of perinatal mortality in congenital heart disease. In addition, some cardiac parameters with high sensitivity such as MPI or annular peak velocities have shown promising results in monitoring and predicting outcome in intrauterine growth restriction or congenital diaphragmatic hernia. Conclusion: Cardiac function can be adequately evaluated in most fetuses when appropriate expertise, equipment and time are available. Fetal cardiac function assessment is a promising tool that may soon be incorporated into clinical practice to diagnose, monitor or predict outcome in some fetal conditions. Thus, more research is warranted to further define specific protocols for each fetal condition that may affect cardiac function.

show abstract

“…Data are also available regarding fetal left and right ventricular cardiac dysfunction using TDI in pregnancies with IUGR complicated with pre-eclampsia 3 . We would like to highlight the pioneering work of Cruz-Lemini et al 1 , analyzing longitudinally cardiac function parameters in these patients. A limitation, as mentioned by the authors, was the small sample size, albeit the results are promising.…”

Section: Relevance Of Longitudinal Systolic Heart Function In Fetusesmentioning

confidence: 99%

“…Cruz-Lemini et al 1 highlighted that M-mode-measured TAPSE showed higher reproducibility with lower variability than did other echocardiographic methods and hence should be recommended as a tool in echocardiography in general. We want to thank the authors for addressing the need for careful and systematic evaluation of right ventricular function parameters in fetuses with or without IUGR.…”

Section: Relevance Of Longitudinal Systolic Heart Function In Fetusesmentioning

confidence: 99%

Relevance of longitudinal systolic heart function in fetuses with intrauterine growth restriction

Gores

Raith

Ravekes

et al. 2014

Ultrasound Obstet Gynecol

View full text Add to dashboard Cite

Value of annular M‐mode displacement vs tissue Doppler velocities to assess cardiac function in intrauterine growth restriction

Cited by 84 publications

References 59 publications

Increased pulsatility in the fetal ductus venosus is not related to altered cardiac strain in high-risk pregnancies

Increased pulsatility in the fetal ductus venosus is not related to altered cardiac strain in high-risk pregnancies

Ultrasound assessment of fetal cardiac function

Relevance of longitudinal systolic heart function in fetuses with intrauterine growth restriction

Contact Info

Product

Resources

About