Examination of the fetal heart in the fetus with intrauterine growth retardation using M-mode echocardiography.

Published on Jan 1, 1988in Seminars in Perinatology3.3
路 DOI :10.5555/URI:PII:0146000588900201
Greggory R. DeVore3
Estimated H-index: 3
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Abstract
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References25
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#1G. R. De Vore (LDS Hospital)H-Index: 4
#2Harbinder S. Brar (SC: University of Southern California)H-Index: 16
Last. Lawrence D. Platt (SC: University of Southern California)H-Index: 70
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With the recent introduction of Doppler pulsed and continuous wave as well as color-flow mapping, assessment of blood velocity in the human fetus has added a new dimension to fetal assessment. Although investigators initially examined blood flow in the descending aorta and umbilical vein, there was a wide variation in normal values because of the difficulty of accurately measuring the area of the vessels, a requirement for computation of blood volume. Using duplex sector scanners, velocity and b...
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#1Larry J Tiefenbrunn (Case Western Reserve University)H-Index: 1
#2Thomas A. Riemenschneider (Case Western Reserve University)H-Index: 8
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Abstract With the increasing use of cocaine in the United States, there has been growing concern regarding its effects on the fetuses and neonates of pregnant cocaine abusers. Twenty-three cocaine-using women enrolled in a comprehensive perinatal-addiction program were divided into two groups: those using cocaine only and those using cocaine plus narcotics. These two groups were compared with a group of women who had used narcotics in the past and were maintained on methadone during pregnancy, a...
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#1Greggory R. DeVore (SC: University of Southern California)H-Index: 16
: With the widespread use of diagnostic ultrasound to evaluate the human fetus, it is now possible to diagnose a number of anomalies of varying organ systems. Although most anomalies of the central nervous, gastrointestinal, genitourinary, and skeletal systems are recognizable at birth, serious ones involving the cardiovascular system are often silent until the neonate demonstrates signs of cardiovascular compromise. Because an ever increasing number of fetuses are routinely scanned during pregn...
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Eighty-two normal fetuses were scanned from 18 to 41 weeks of gestation. The following M-mode measurements were correlated with the abdominal circumference: diastolic biventricular outer (r = 0.951) and inner (r = 0.948) dimensions; diastolic right (r = 0.942) and left (r = 0.925) internal dimensions; tricuspid (r = 0.916) and mitral (r = 0.900) valve opening excursions; and right (r = 0.774), left (r = 0.731), and interventricular septal (r = 0.753) wall thickness. Polynomial regression demonst...
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#1Greggory R. DeVore (SC: University of Southern California)H-Index: 16
#2Bijan Siassi (SC: University of Southern California)H-Index: 28
Last. Lawrence D. Platt (SC: University of Southern California)H-Index: 70
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Abstract M-mode echocardiographic examination of the right and left ventricies was performed on 82 normal fetuses between 18 and 41 weeks of gestation. The diameter of the right and left ventricles correlated with the biparietal diameter. The right/left ratio of the ventricular diameters remained constant (1:1) throughout gestation. Fractional shortening and mean circumferential shortening of both ventricles were independent of gestational age. The data presented in this paper will allow the cli...
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#1L. C. GistrapH-Index: 1
#2John C. HauthH-Index: 95
Last. G. H. McMorlandH-Index: 1
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: Of 403 newborns with either fetal heart rate (FHR) bradycardia or tachycardia during the last ten minutes of the second stage of labor, 20% had an umbilical cord pH of less than 7.20 at birth compared with only 4% of newborns who had a normal FHR during the last ten minutes of labor (P less than .0001). Thirty (18%) of 165 neonates with mild bradycardia and 33 (27%) of 121 neonates with moderate to marked bradycardia had cord pH values of less than 7.20 at birth (P less than .0001). Of the 117...
Abstract By means of real-time-directed M-mode ultrasound, the hearts of normal and abnormal fetuses were evaluated for evidence of a pericardial effusion. Because of its limited potential space, the pericardial sac appears to become distended with fluid prior to ultrasound evidence of ascites, pleural effusions, or soft tissue edema. Fetal echocardiography, therefore, appears to be useful in the assessment of fetuses at risk for developing hydrops.
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Cited By22
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#1Greggory R. DeVore (UCLA: University of California, Los Angeles)H-Index: 30
#2Percy Pacora Portella (WSU: Wayne State University)H-Index: 1
Last. Roberto RomeroH-Index: 181
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Objectives The purpose of this study was to evaluate the end-diastolic size and shape of the 4-chamber view as well as the right ventricle (RV) and left ventricle (LV) in growth-restricted fetuses before 34 weeks' gestation with absent or reversed end-diastolic velocity of the umbilical artery and compare the results between those with perinatal deaths and those who survived the neonatal period. Methods Forty-nine fetuses with growth restriction and absent or reversed end-diastolic velocity of t...
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#1John C. Hobbins (University of Colorado Denver)H-Index: 90
#2Diane L. Gumina (University of Colorado Denver)H-Index: 6
Last. Greggory R. DeVore (UCLA: University of California, Los Angeles)H-Index: 30
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Abstract Background Fetuses with an estimated fetal weight (EFW) th centile have an increased risk for adverse perinatal and long-term outcomes as well as increased rates of cardiac dysfunction which often alters cardiac size and shape of the 4-chamber view and the individual ventricles. As a result, a simple method has emerged to screen for potential cardiac dysfunction in fetuses with EFWs th centile by measuring the size and shape of the 4-chamber view (4CV) and the size of the ventricles. Ob...
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#1Greggory R. DeVore (UCLA: University of California, Los Angeles)H-Index: 30
#2Bettina F. Cuneo (University of Colorado Denver)H-Index: 33
Last. Mark Sklansky (UCLA: University of California, Los Angeles)H-Index: 29
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INTRODUCTION: This study was conducted to evaluate the 24-segment transverse widths of the right and left ventricles distributed from the base to the apex of the ventricular chambers and compute the right ventricular (RV)/left ventricular (LV) ratios for each segment. METHODS: Two hundred control fetuses were examined between 20 and 40 weeks' gestation. Using offline speckle-tracking software, the 24 end-diastolic transverse widths were computed and the RV/LV ratios were regressed against 7 inde...
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#1Rinat Gabbay-Benziv (UMB: University of Maryland, Baltimore)H-Index: 7
#2Bilge Cetinkaya Demir (UMB: University of Maryland, Baltimore)H-Index: 1
Last. Sifa Turan (UMB: University of Maryland, Baltimore)H-Index: 16
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Abstract Objective To evaluate fetal cardiac ventricular disproportion as a marker of cardiac anomalies. Methods A retrospective case series included data from all patients who had a fetus diagnosed subjectively with ventricular disproportion by routine obstetric ultrasonography between January 1, 2007 and December 31, 2013 at a single tertiary center in the USA. Fetal and neonatal echocardiography, and neonatal outcome data were retrieved. Outcomes were described for all fetuses with subjective...
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#1Boonchai Uerpairojkit (Chula: Chulalongkorn University)H-Index: 10
#2Saknan Manotaya (Chula: Chulalongkorn University)H-Index: 10
Last. Dhiraphongs Charoenvidhya (Chula: Chulalongkorn University)H-Index: 10
view all 5 authors...
Aim: The aim of this study was to investigate the effect of intrauterine growth restriction (IUGR), specifically from uteroplacental insufficiency, on fetal cardiac dimensions. Material and Methods: Cardiac circumference (CC) and cardiac area (CA) were measured in four-chamber view in 143 normal fetuses between 18 and 40聽weeks of gestation. A study group comprised a homogeneous group of 49 IUGR fetuses with abnormal umbilical artery impedance. Multiple regression analysis was used to compare the...
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#1H. SchneiderH-Index: 1
#2K.T.M. Schneider (TUM: Technische Universit盲t M眉nchen)H-Index: 1
Ein Geburtsgewicht <10. Perzentil der fur das Gestationsalter gegebenen Normalverteilung ist als 禄small for gestational age芦 (SGA) definiert und kann Ausdruck verschiedener konstitutioneller Faktoren wie Geschlecht des Kindes, Gewicht und Korpergrose der Mutter, ethnische Zugehorigkeit u. a. sein. Von verschiedenen Screeninguntersuchungen hat sich die Ultraschallbiometrie verschiedener Korpermase des Fetus wie der Abdomenumfang und der Kopfdurchmesser zusammen mit der Beurteilung der Fruchtwasse...
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#1Marieke Sueters (LUMC: Leiden University Medical Center)H-Index: 18
#2Johanna M. Middeldorp (LUMC: Leiden University Medical Center)H-Index: 33
Last. Dick Oepkes (LUMC: Leiden University Medical Center)H-Index: 58
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Objectives To evaluate the influence of fetoscopic laser therapy on fetal cardiac size in monochorionic twins complicated by twin鈥搕win transfusion syndrome (TTTS). Methods In a longitudinal, prospective study, we assessed fetal cardiac size sonographically in monochorionic diamniotic twins with TTTS treated by laser therapy and in monochorionic twins without TTTS. The fetal cardiothoracic ratio (cardiac circumference divided by thoracic circumference) of TTTS twins was determined within 24 h bef...
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#1H. SchneiderH-Index: 1
#2K. T. M. Schneider (LMU: Ludwig Maximilian University of Munich)H-Index: 1
Ein Geburtsgewicht < 10. Perzentil der fur das Gestationsalter gegebenen Normalverteilung ist als 禄small for gestational age芦 (SGA) definiert und kann Ausdruck verschiedener konstitutioneller Faktoren wie Geschlecht des Kindes, Gewicht und Korpergrose der Mutter sowie Gewichtszunahme wahrend der Schwangerschaft, ethnische Zugehorigkeit u. a. sein. Nur bei etwa der Halfte dieser Kinder bestehen Hinweise auf eine intrauterine Wachstumspathologie. Eine intrauterine Wachstumsretardierung (IUWR) kann...
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#1J. S. Kirk (Beaumont Hospital)H-Index: 14
#2Christine H. Comstock (Beaumont Hospital)H-Index: 43
Last. Elliott Weinhouse (Beaumont Hospital)H-Index: 6
view all 6 authors...
Abstract Objective: To determine the sensitivity of prenatally detected fetal cardiac asymmetry as a sonographic marker for congenital heart disease. Methods: The normal ratios of pulmonary artery to aorta diameters and of right ventricle to left ventricle diameters were derived from normal fetuses scanned at 17 weeks or more in a 65-month period. Cross-sectional diameters of cardiac ventricles and great arteries were measured at the level of the valves at the time of the scan. Fetuses with conf...
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