Ginekologia Polska

open access

Vol 92, No 3 (2021)
Research paper
Published online: 2021-02-23
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Investigation of fetal cardiac function using tissue doppler imaging in fetuses compromised by growth restriction

Rabia Merve Palalioglu, Halil Ibrahim Erbiyik, Basak Kaya, Huseyin Kiyak, Ali Gedikbasi
DOI: 10.5603/GP.a2020.0175
·
Ginekol Pol 2021;92(3):195-204.

open access

Vol 92, No 3 (2021)
ORIGINAL PAPERS Obstetrics
Published online: 2021-02-23

Abstract

Objectives: The primary aim of this study was to evaluate fetal cardiac systolic and diastolic function using the tissue Doppler
technique in pregnancies with complications of fetal growth restriction (FGR) and to examine the relationship between
FGR with umbilical artery Doppler parameters and fetal cardiac function in complicated pregnancies.
Material and methods: This study included 30 pregnant women with FGR complications and 46 pregnant women without
FGR complications. Both groups were at 24–34 gestational weeks. Fetal cardiac examination was performed using pulsed
Doppler and tissue Doppler imaging (TDI) in all pregnancies. In the analysis of myocardial tissue by tissue Doppler, the
tracing obtained from the junction of the tricuspid valve annulus with the right ventricle was recorded by measuring the
duration of the isovolumetric contraction wave (IVC), ejection time (ET), and isovolumetric relaxation time (IVR). Furthermore,
we calculated the myocardial performance index (MPI) and then measured and recorded the early diastolic annular rate.
Results: Based on the TDI studies, the mean IVC and IVR values were significantly longer and the ET values were significantly
shorter in the study group than those in the control group. The study group also had significantly longer MPI measurements.
Conclusions: Because TDI is a considerably more sensitive method than cardiac sonographic evaluation using pulsed
Doppler, tissue Doppler parameters facilitate the detection of cardiac dysfunction at a relatively early stage. In addition,
TDI and myocardial evaluation in fetuses with FGR can be noninvasively performed in clinical practice.

Abstract

Objectives: The primary aim of this study was to evaluate fetal cardiac systolic and diastolic function using the tissue Doppler
technique in pregnancies with complications of fetal growth restriction (FGR) and to examine the relationship between
FGR with umbilical artery Doppler parameters and fetal cardiac function in complicated pregnancies.
Material and methods: This study included 30 pregnant women with FGR complications and 46 pregnant women without
FGR complications. Both groups were at 24–34 gestational weeks. Fetal cardiac examination was performed using pulsed
Doppler and tissue Doppler imaging (TDI) in all pregnancies. In the analysis of myocardial tissue by tissue Doppler, the
tracing obtained from the junction of the tricuspid valve annulus with the right ventricle was recorded by measuring the
duration of the isovolumetric contraction wave (IVC), ejection time (ET), and isovolumetric relaxation time (IVR). Furthermore,
we calculated the myocardial performance index (MPI) and then measured and recorded the early diastolic annular rate.
Results: Based on the TDI studies, the mean IVC and IVR values were significantly longer and the ET values were significantly
shorter in the study group than those in the control group. The study group also had significantly longer MPI measurements.
Conclusions: Because TDI is a considerably more sensitive method than cardiac sonographic evaluation using pulsed
Doppler, tissue Doppler parameters facilitate the detection of cardiac dysfunction at a relatively early stage. In addition,
TDI and myocardial evaluation in fetuses with FGR can be noninvasively performed in clinical practice.

Get Citation

Keywords

fetal cardiac function; FGR; myocardial performance index; tissue Doppler imaging

About this article
Title

Investigation of fetal cardiac function using tissue doppler imaging in fetuses compromised by growth restriction

Journal

Ginekologia Polska

Issue

Vol 92, No 3 (2021)

Article type

Research paper

Pages

195-204

Published online

2021-02-23

DOI

10.5603/GP.a2020.0175

Bibliographic record

Ginekol Pol 2021;92(3):195-204.

Keywords

fetal cardiac function
FGR
myocardial performance index
tissue Doppler imaging

Authors

Rabia Merve Palalioglu
Halil Ibrahim Erbiyik
Basak Kaya
Huseyin Kiyak
Ali Gedikbasi

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