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Fetal Myocardial Performance Index

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https://www.readbyqxmd.com/read/27862741/assessment-of-fetal-myocardial-performance-index-in-women-with-pregestational-and-gestational-diabetes-mellitus
#1
Cem Yasar Sanhal, Halil Korkut Daglar, Ozgur Kara, Dilek Uygur, Aykan Yucel
AIM: Fetal cardiac left ventricular function in pregnant women with pregestational or gestational diabetes mellitus was investigated by exploring fetal myocardial performance index (MPI) and E wave/A wave peak velocity (E/A) ratio. METHODS: Seventy pregnant women with either pregestational or gestational diabetes mellitus and with no other systemic or pregnancy related disorders were compared with 70 gestational age matched healthy controls by means of fetal left ventricular MPI and E/A ratio...
November 12, 2016: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27821651/can-the-myocardial-performance-index-be-used-as-a-new-predictive-factor-for-a-poor-prognosis-in-fetuses-with-idiopathic-polyhydramnios
#2
Cenk Gezer, Atalay Ekin, Mehmet Ozeren, Cuneyt Eftal Taner, Emre Mat, Ulas Solmaz
OBJECTIVES: The purpose of this study was to determine whether there are any changes in cardiac function in fetuses with idiopathic polyhydramnios and also to evaluate the value of the myocardial performance index for prediction of adverse perinatal outcomes. METHODS: A prospective case-control study was conducted with a total of 134 fetuses between 24 and 40 weeks' gestation. Polyhydramnios was defined as an amniotic fluid index of greater than 24 cm. Seventy-three fetuses of healthy mothers were assigned as the control group whereas 36 fetuses with an amniotic fluid index of 24 to 34 cm constituted the nonsevere polyhydramnios group, and 31 fetuses with an amniotic fluid index of 35 cm or greater constituted the severe polyhydramnios group...
November 7, 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27813120/prediction-of-neonatal-outcome-of-ttts-by-fetal-heart-and-doppler-ultrasound-parameters-before-and-after-laser-treatment
#3
A Delabaere, F Leduc, Q Reboul, F Fuchs, S Wavrant, J C Fouron, F Audibert
OBJECTIVES: To determine the prognostic value of fetal Doppler and echocardiographic parameters for neonatal survival up to 30 days after laser coagulation in monochorionic pregnancies complicated by twin-twin transfusion syndrome (TTTS). METHODS: Fetal echocardiography and outcome data of consecutive cases of TTTS treated by laser were retrospectively reviewed. Hemodynamic and cardiac function parameters were collected before and after laser. RESULTS: Between February 2006 and January 2015, 106 fetoscopic laser were performed...
November 3, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27630907/fetal-cardiodynamics-by-echocardiography-in-insulin-dependent-maternal-diabetes-and-its-correlation-with-pregnancy-outcome
#4
Rashmi Pilania, Pooja Sikka, Manoj K Rohit, Vanita Suri, Praveen Kumar
INTRODUCTION: Maternal diabetes mellitus is associated with an increased risk of fetal and neonatal morbidity and mortality. Usual screening tests have not proved to be good prognostic indicators of fetal distress. Fetal cardiodynamics is potentially a useful screening tool. AIM: To determine if cardiodynamics of the fetus differ in pregnancy with diabetes requiring insulin than those without and to determine whether cardiodynamics predict fetal and neonatal outcomes...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27626241/myocardial-function-pre-and-post-fetal-endoscopic-tracheal%C3%A2-occlusion-feto-in-fetuses-with-left-sided-moderate-to-severe-congenital-diaphragmatic-hernia
#5
J Degenhardt, C Enzensberger, A Tenzer, A Kawecki, T Kohl, E Widriani, R Axt-Fliedner
: Purpose: To evaluate pre- and postprocedural myocardial function in fetuses with moderate to severe congenital diaphragmatic hernia (CDH) who underwent FETO to improve survival and to reduce morbidity and to compare these data with fetuses and CDH not undergoing FETO and normal controls. Materials and Methods: 8 fetuses with isolated left-sided CDH were included and underwent FETO at our center between 2012 and 2013. Prior to and after the operation, myocardial function was assessed by measuring the mitral annular plane systolic excursion (MAPSE), the tricuspid annular plane systolic excursion (TAPSE), Tei index, isovolumetric contraction time (ICT), ejection time (ET), isovolumetric relaxation time (IRT) for the left ventricle in PW Doppler ultrasound as well as ICT, ET, IRT and Tei index in pulsed wave tissue Doppler imaging (PW-TDI) for the left and right ventricle...
September 14, 2016: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/27562129/right-heart-function-of-fetuses-and-infants-with-large-ventricular-septal-defect-a-longitudinal-case-control-study
#6
Jiao Chen, Liang Xie, Li Dai, Li Yu, Lijun Liu, Yongbi Zhou, Guiying Wu, Fengfei Qin, Hanmin Liu
The objective of this study was to detect the effect of a large ventricular septal defect (VSD) on right ventricular function before and after birth. All consecutive children with large VSD who were born in our hospital between January 2013-February 2016 and followed up throughout early infancy, and who lacked malformations or chromosomal abnormalities, were identified by a retrospective review of the medical records and included in this retrospective longitudinal case-control study (n = 30). Thirty normal control cases with an equivalent gestational age and gender served as controls...
December 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27544438/effect-of-hypoxemia-with-or-without-increased-placental-vascular-resistance-on-fetal-left-and-right-ventricular-myocardial-performance-index-in-chronically-instrumented-sheep
#7
Amar Bhide, Olli Vuolteenaho, Mervi Haapsamo, Tiina Erkinaro, Juha Rasanen, Ganesh Acharya
Myocardial performance index (MPI) is increased in growth-restricted fetuses with placental insufficiency, but it is unknown if this is due to fetal hypoxemia or increased placental vascular resistance (Rplac). We used chronically instrumented sheep fetuses (n = 24). In 12 fetuses, placental embolization was performed 24 h before experiments. On the day of the experiment, left (LV) and right (RV) ventricular MPIs were obtained by pulsed Doppler at baseline and in the hypoxemia and recovery phases. At baseline, Rplac was greater and fetal pO2 lower in the placental embolization group, but RV and LV MPIs were comparable to those of the control group...
November 2016: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/27452432/carbohydrate-and-fatty-acid-perturbations-in-the-amniotic-fluid-of-the-recipient-twin-of-pregnancies-complicated-by-twin-twin-transfusion-syndrome-in-relation-to-treatment-and-fetal-cardiovascular-risk
#8
Warwick B Dunn, J William Allwood, Tim Van Mieghem, R Katie Morris, Fiona L Mackie, Caroline E Fox, Mark D Kilby
INTRODUCTION: Twin-twin transfusion syndrome (TTTS) complicates 15% of monochorionic twin pregnancies, often being associated with recipient cardiac dysfunction. Untreated, it has a fetal mortality rate of at least 90%; although treatment by fetoscopic laser coagulation significantly improves prognosis. Measurement of recipient amniotic fluid metabolites, such as cardiac Troponin T and atrial natriuretic polypeptide, correlate with cardiac function in this fetus. The aim of this study is to describe the amniotic fluid metabolomic profile in TTTS, relate this to fetal recipient cardiac function and assess the metabolomic changes induced by fetoscopic laser coagulation...
August 2016: Placenta
https://www.readbyqxmd.com/read/27442223/effect-of-cordocentesis-on-fetal-myocardial-performance
#9
Kasemsri Srisupundit, Fuanglada Tongprasert, Suchaya Luewan, Kuntharee Traisrisilp, Phudit Jatavan, Theera Tongsong
OBJECTIVE: To compare fetal Tei index before, immediately after and 30 min after cordocentesis for prenatal diagnosis. PATIENTS AND METHODS: Pregnant women undergoing prenatal diagnostic cordocentesis in the early mid-trimester underwent measurement of the fetal Tei index of both right and left ventricles just before cordocentesis, immediately after and at 30 min after the procedure. RESULTS: A total of 143 singleton women underwent cordocentesis at a median gestational age of 19 weeks (range 16-23)...
September 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27392316/beat-to-beat-variability-of-the-fetal-myocardial-performance-index-mpi
#10
P Maheshwari, J Alphonse, A Henry, J Wang, S J Redmond, A Welsh
OBJECTIVES: To determine whether there is beat-to-beat (BTB) variability in the fetal left myocardial performance index (MPI) as evaluated by an automated system, and whether MPI and fetal heart rate (FHR) correlate. METHODS: Prospective cross-sectional study of women at 20-38 weeks gestation with uncomplicated, morphologically normal singleton pregnancies. Multiple cineloops for left MPI measurement were acquired during a single examination in each fetus. Raw cineloop data was analysed by our automated MPI system (ICC of 1...
July 8, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27212847/fetal-left-ventricular-myocardial-performance-index-defining-normal-values-for-indian-population-and-a-review-of-literature
#11
Anupama Nair, Sitaraman Radhakrishnan
OBJECTIVE: The aim of this study was to determine normal values for fetal left ventricular (LV)-myocardial performance index (MPI) in Indian population and to assess its relation to advancing gestation and fetal heart rate (FHR). MATERIALS AND METHODS: Two hundred pregnant women without any pregnancy-related complications and whose fetuses were shown to have structurally normal hearts were enrolled in this study. Doppler waveform involving simultaneous display of mitral inflow and LV outflow was obtained in all...
May 2016: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/27186866/can-fetal-left-ventricular-modified-myocardial-performance-index-predict-adverse-perinatal-outcomes-in-intrahepatic-cholestasis-of-pregnancy
#12
Cem Yasar Sanhal, Ozgur Kara, Aykan Yucel
OBJECTIVE: To investigate fetal left ventricular function using the left ventricular modified myocardial performance index (mod-MPI) and E wave/A wave peak velocity (E/A) ratio, and to explore the success of mod-MPI in the prediction of adverse perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP). METHODS: Forty-one ICP cases were compared with 41 gestational age matched healthy controls. Opening and closing clicks of the mitral and aortic valves were used to define the three time periods (ejection time (ET), isovolumetric contraction time (ICT) and isovolumetric relaxation time (IRT)), which were employed in the calculation of mod-MPI (mod-MPI = (ICT+IRT)/ET)...
May 17, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27155334/assessment-of-right-heart-function-in-preeclampsia-by-echocardiography
#13
Fatma Nihan Turhan Çağlar, Cem Ozde, Evrim Bostancı, İlker Murat Çağlar, Serkan Çiftçi, İsmail Unğan, Bülent Demir, Osman Karakaya
BACKGROUND: Preeclampsia (PE) is a multisystemic disorder characterized by hypertension and proteinuria that is specific to pregnancy and associated with maternal and fetal morbidity-mortality. AIM: To assess right heart structure and function in PE by echocardiography using conventional and tissue Doppler techniques. METHODS: In total, 67 women with untreated PE and 46 matched healthy pregnant women were included. PE was defined according to the ACOG (2002) criteria...
April 2016: Pregnancy Hypertension
https://www.readbyqxmd.com/read/27150066/impact-of-recipient-twin-preoperative-myocardial-performance-index-in-twin-twin-transfusion-syndrome-treated-with-laser
#14
Matthew M Finneran, Ryan Pickens, Megan Templin, Courtney D Stephenson
OBJECTIVE: To validate the efficacy of laser therapy for TTTS in the treatment of recipient twin cardiomyopathy and investigate if severity of preoperative cardiomyopathy can predict fetal survival postoperatively. STUDY DESIGN: Retrospective study of MCDA pregnancies complicated by TTTS treated by selective fetoscopic laser photocoagulation (SFLP) performed between March 2010 and October 2014 at a single center. The recipient right ventricular (RV) and left ventricular (LV) MPI were measured both pre and postoperatively...
May 6, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27016345/fetal-colour-tissue-doppler-imaging-ctdi-biventricular-reference-ranges-for-the-time-segments-of-the-cardiac-cycle-in-second-and-third-trimesters-of-gestation
#15
Arne Willruth, Johannes Steinhard, Christian Enzensberger, Roland Axt-Fliedner, Ulrich Gembruch, Astrid Doelle, Willem Gorissen, Rolf Fimmers, Franz Bahlmann
PURPOSE: To construct biventricular reference ranges for isovolumic time intervals (isovolumic contraction time, ICT; isovolumic relaxation time, IRT) and ejection time (ET) for colour tissue Doppler imaging (cTDI) between 15 and 37 weeks' in healthy fetuses. METHODS: This was a prospective multicentre cross-sectional study involving 160 singleton pregnancies between 15 and 37 weeks of gestation, using cTDI. ICT, ET, IRT and myocardial performance index (MPI) were analysed offline using a small region of interest (ROI) within the basal part of the right and left ventricular wall immediately distal to the annulus...
March 25, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/26946331/ductus-venosus-doppler-in-the-assessment-of-fetal-cardiovascular-health-an-updated-practical-approach
#16
REVIEW
Viola Seravalli, Jena L Miller, Dana Block-Abraham, Ahmet A Baschat
The ductus venosus has a central role in the distribution of highly oxygenated umbilical venous blood to the heart. Its waveform is related to the pressure-volume changes in the cardiac atria and it is therefore important in the monitoring of any fetal condition that may affect forward cardiac function. The cardiovascular parameters that can influence forward cardiac function include afterload, myocardial performance and preload. Decreased forward flow during atrial systole (a-wave) is the most sensitive and ubiquitous finding when any of these parameters is affected...
June 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/26921842/fetal-left-modified-myocardial-performance-index-measured-by-the-auto-mod-mpi-system-development-of-reference-values-and-application-to-recipients-of-twin-to-twin-transfusion-syndrome
#17
Mi-Young Lee, Hye-Sung Won, Ji Eun Park, Jae-Yoon Shim, Pil-Ryang Lee, Ahm Kim, Jung Bok Lee
OBJECTIVES: To establish normal reference ranges for the fetal left modified myocardial performance index (Mod-MPI) measured by the Auto Mod-MPI system and evaluate Mod-MPI changes in recipients of twin-to-twin transfusion syndrome (TTTS) before and after fetoscopic laser coagulation. METHODS: This was a prospective longitudinal study of normal singleton fetuses from 12.0 to 40.0 weeks of gestation. TTTS cases treated by laser coagulation were reviewed for Mod-MPI measurements of recipients...
May 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/26797677/longitudinal-changes-and-interobserver-variability-of-systolic-myocardial-deformation-values-in-a-prospective-cohort-of-healthy-fetuses-across-gestation-and-after-delivery
#18
Shiraz Arif Maskatia, Ricardo H Pignatelli, Nancy A Ayres, Carolyn A Altman, Haleh Sangi-Haghpeykar, Wesley Lee
BACKGROUND: Normative data for fetal myocardial deformation values have not been comprehensively described in a longitudinal cohort. The effect of gestational age on these values and on interobserver variability require further investigation. METHODS: Sixty gravid women were prospectively enrolled before 20 weeks' gestation. The following measures were obtained by two blinded observers at five time points across gestation and also at 4 to 8 weeks' postnatal age: global circumferential strain and strain rate, global longitudinal left ventricular strain and strain rate, global longitudinal right ventricular strain and strain rate, and left and right ventricular myocardial performance indices...
April 2016: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/26737974/automated-cardiac-time-interval-measurement-for-modified-myocardial-performance-index-calculation-of-right-ventricle
#19
Jingjing Wang, Amanda Henry, Alec W Welsh, Stephen J Redmond
The Modified Myocardial Performance Index (Mod-MPI) has sparked great interest as a parameter for fetal cardiac function assessment. However, measurement of this index requires expertise and its clinical application might be limited, owing to its poor repeatability. Research groups have been investigating left Mod-MPI (that is, Mod-MPI from left ventricle valve events), and an automated algorithm has been developed for left Mod-MPI calculation in our previous study. Right MPI is also important as it becomes abnormal earlier than left MPI in some pathologies; however, for use across the gestational age spectrum, it requires two-image acquisition...
2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/26423314/evaluation-of-an-automated-fetal-myocardial-performance-index
#20
A W Welsh, P Maheshwari, J Wang, A Henry, D Chang, F Crispi, H M Gardiner, E Hernandez-Andrade, N Meriki, S Redmond, S Yagel
OBJECTIVE: To compare automated measurements of the fetal left myocardial performance index (MPI) with manual measurements for absolute value, repeatability and waveform acceptability. METHODS: This was a multicenter international online study using images from uncomplicated, morphologically normal singleton pregnancies (16-38 weeks' gestation). Single Doppler ultrasound cardiac cycle images of 25 cases were selected, triplicated and randomized (n = 75). Six senior observers, unaware of the repetition of images, manually calculated MPI for each waveform and the results were compared with automation...
October 2016: Ultrasound in Obstetrics & Gynecology
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