Cardiac function monitoring of fetuses with growth restriction

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Francesc FiguerasJuan A Vanrell

Abstract

To describe the time sequence of changes in cardiac function in intrauterine growth restriction. This was a prospective longitudinal study on 22 singleton pregnancies with growth-restricted fetuses. Pulsatility indices of fetal arterial and venous Doppler waveforms, systolic peak velocity in the aorta and pulmonary artery, right and left ventricular shortening fraction and atrioventricular flow E/A ratio were assessed at each monitoring session. Logistic regression was used for modeling the probability of abnormality of a variable in relation to the time interval before delivery. Trends over time were analyzed by Mann-Withney U-test. Umbilical artery pulsatility index was the first variable to become abnormal, followed by the middle cerebral artery, right diastolic indices (right E/A, ductus venosus), right systolic indices and, finally, both diastolic and systolic left cardiac indices. We have found an earlier and more pronounced right than left and diastolic than systolic fetal cardiac function deterioration in growth restricted fetuses monitored longitudinally.

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Related Concepts

Apgar Score
Postcesarean Section
Diastole
Fetal Growth Retardation
Fetal Heart
Fetal Monitoring
Gestational Age
Hydrogen-Ion Concentration
Pre-Eclampsia
Pulsatile Flow

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