Cardiac time intervals and myocardial performance index for prediction of twin-twin transfusion syndrome.

Prenatal Diagnosis
Manon GijtenbeekMonique C Haak

Abstract

To explore whether intertwin discordance in myocardial performance index (MPI) or cardiac time intervals enables the prediction of twin-twin transfusion syndrome (TTTS) in monochorionic diamniotic (MCDA) pregnancies with amniotic fluid discordance. Prospective cohort study of MCDA pregnancies with amniotic fluid discordance ≥4 cm. Serial ultrasound examinations consisted of evaluation of amniotic fluid, fetal Dopplers and fetal cardiac function. We included 21 "future-TTTS" (group I), 18 selective fetal growth restriction (sFGR; group II) and 20 uncomplicated MCDA twin pairs (group III). Group I had a higher intertwin difference in left ventricle (LV) MPI and right ventricle (RV) MPI compared to group II and III. The intertwin difference in global heart relaxation time was significantly higher in group I compared to group III. Future recipient twins had significantly higher contraction times of the global heart and RV and lower relaxation times of the global heart and RV compared to the "expected recipients" in group II and III. Intertwin discordance in LV-MPI and RV-MPI differentiate between TTTS and MCDA pregnancies with transient discordant amniotic fluid volume. Cardiac time intervals identify future recipient twins. The cl...Continue Reading

References

Oct 15, 1980·American Journal of Obstetrics and Gynecology·G H VisserA C Turnbull
Jan 25, 2000·Journal of Perinatology : Official Journal of the California Perinatal Association·R A QuinteroM Kruger
Jun 19, 2002·BMC Medical Research Methodology·Ronald J Feise
Sep 11, 2004·Physics in Medicine and Biology·Asli UmurPeter G J Nikkels
Jan 1, 1950·Cancer·W J YOUDEN
Aug 24, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E Hernandez-AndradeE Gratacos
Jun 13, 2014·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C ZanardiniT Frusca
Jul 15, 2015·Clinical Obstetrics and Gynecology·Anthony Johnson
Feb 13, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Christoph WohlmuthKurt Hecher
Mar 28, 2017·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A HenryA W Welsh
Apr 4, 2017·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C WohlmuthH M Gardiner
Jan 6, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Amanda HenryAlec W Welsh
Jan 25, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A KhalilS J Gordijn
Nov 5, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C WohlmuthH M Gardiner

❮ Previous
Next ❯

Citations

Oct 27, 2021·Prenatal Diagnosis·Tim Van Mieghem

❮ Previous
Next ❯

Related Concepts

Related Feeds

Acute viral rhinopharyngitis

Acute viral rhinopharyngitis, also known as "common cold", is an acute, self-limiting viral infection of the upper respiratory tract involving the nose, sinuses, pharynx and larynx. Discover the latest research on acute viral rhinopharyngitis here.

Related Papers

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
Tim Van MieghemJ Deprest
The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Amanda HenryAlec W Welsh
Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
C WohlmuthH M Gardiner
© 2021 Meta ULC. All rights reserved